Labour dystocia, also known as "prolonged labour" or "failure to progress," is a challenging situation during childbirth when the cervix doesn't dilate, or the baby doesn't descend through the birth canal at the expected rate.
This can make labour longer and more difficult, potentially leading to increased medical interventions, such as cesarean sections or the use of forceps or vacuum extractors.
Several factors can contribute to labour dystocia, including:
1. Mechanical Imbalance in the Pelvis: Sometimes, the shape or size of the mother's pelvis is not conducive to the baby's passage through the birth canal.
2. Suboptimal Position of the Baby: The baby's position in the womb, such as being posterior (face up) instead of anterior (face down), can slow down labour.
3. Large Baby: If the baby is significantly larger than average, it can make labour more challenging.
4. Weak Contractions: Inadequate or inefficient uterine contractions may not effectively push the baby through the birth canal.
5. Maternal Exhaustion or Stress: Prolonged labour can lead to maternal exhaustion, stress, and anxiety, which can further hinder the progress of labour.
To reduce the risk of labour dystocia, consider the following:
1. Prenatal Education and Preparedness: Attend childbirth education classes to gain knowledge about the labour process, including what to expect and how to manage pain and stress. Our Movement for an Easier Birth class is perfect for getting your body prepped and ready for labour.
2. Optimal Prenatal Care: Regular prenatal check-ups with your healthcare provider can help monitor the baby's position and overall health. Discuss any concerns or questions you have with your healthcare team.
3. Stay Active: Engage in regular physical activity during pregnancy, such as walking or prenatal yoga, to promote flexibility and good pelvic alignment.
4. Position Changes During Labour: Changing positions frequently during labour can help the baby descend through the birth canal more effectively. Consider positions like walking, squatting, or using a birthing ball.
5. Relaxation Techniques: Practice relaxation techniques like deep breathing, meditation, or visualisation to manage stress and promote efficient contractions.
6. Hydration and Nutrition: Stay well-hydrated and eat balanced meals to maintain your energy levels during labour.
7. Labour Support: Having a supportive birth partner, such as a partner, doula, or midwife, can provide emotional and physical support during labour.
Remember that every pregnancy and labour is unique, and there are no guarantees. The best approach is to be informed, communicate openly with your healthcare provider, and be flexible in your birth plan to adapt to the circumstances as they unfold during labour.
If you’re interested in learning more about different techniques and movements that might help your birth, our Movement for an Easier Birth Workshop with The Holistic Midwife is perfect for you.You will learn:
- The dynamic interaction between your pelvis and your baby in birth
- Activities and lifestyles that can increase the chance of labour dystocia
- Techniques and positions to do daily or weekly in pregnancy and if needed in labour. These are based on the principles of biomechanics, that increase space in the pelvis and help to avoid medical interventions
- How to better recognise if your baby is in a suboptimal position
- The workshop is accompanied by a Biomechanics For Birth handout to guide you during your pregnancy and labour.