Inefficient Contractions (The Power)Īnother reason your labor may not be progressing could be because your cervix is dilating slowly or has stopped dilating. Likewise, a planned cesarean may be offered if the head hasn't engaged toward the end of labor or your doctor suspects CPD may be a concern before labor. Your doctor and nurses will monitor the labor with a labor graph, and if there are signs that the baby is in distress, an emergency cesarean may be performed. If CPD is suspected, but the baby's head has engaged, you can still attempt a vaginal birth. Sometimes Cephalopelvic Disproportion may be suspected before labor in late pregnancy if your doctor’s measurements indicate the baby will be large. The condition is considered rare and can only be fully diagnosed during labor, and 70% of pregnant women are able to deliver vaginally and without major complications. More: Labor Complications Cephalopelvic Disproportion (The Passenger)Ĭephalopelvic Disproportion (CPD) occurs when the baby’s head is too large to fit through the women’s pelvis. If one of these elements is not aligned, the latent phase of labor may not progress as quickly or smoothly as mom and doctor would like. In early labor, these three elements work together to progress towards the active phase of labor. The Passage (the size and shape of your pelvis).The Powers (the efficiency of your contractions).The Passenger (the size of the baby and his position in the uterus).When this happens, your health care provider will likely assess what are known as the Three Ps. When labor fails to progress, it means your cervix is not dilating, and your baby is not descending.
We will break down the various reasons for the cervix not dilating in the coming sections. The first stage of labor could take several weeks, and you may stay dilated at only 1 or 2 centimeters for several ob-gyn visits in a row! When dilation fails to progress, women often wonder why is my cervix not dilating? Fortunately, there are many reasons why it may seem there is a failure to progress in labor. Placenta Delivery (the third stage of labor).Active Labor (the second stage of labor 10 cm dilated).Latent Labor (the first stage of labor 1- 9 cm dilated).More: Labor Complications Dilation During The 3 Stages of Labor: There are three stages of labor: latent labor, active labor, and the delivery of the placenta, which is often glossed over when discussing labor.Īs labor progresses, so will cervical dilation, from 1 cm, roughly the size of a blueberry, to 10 cm, the size of a bagel. You may also experience a bloody show, a mix of blood and mucus when you lose your mucus plug. Dilation begins once you have lost your mucus plug and cervical effacement has occurred. As you approach your due date, your doctor will check your weekly visits to see if you are dilated. Cervix dilation is one of the earliest signs that the birth of your baby is imminent.
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