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Prolonged labor is the inability of a woman to proceed with childbirth upon going into labor. [1] Prolonged labor typically lasts over 20 hours for first time mothers, and over 14 hours for women that have already had children. [1] Failure to progress can take place during two different phases; the latent phase and active phase of labor. [1]
The first stage of labour is divided into latent and active phases, where the latent phase is sometimes included in the definition of labour, [39] and sometimes not. [40] The latent phase is generally defined as beginning at the point at which the woman perceives regular uterine contractions. [41]
Labor is divided into three stages. First stage of labor starts with the onset of contractions and finishes when the cervix is fully dilated at 10 cm. [15] This stage can further be divided into latent and active labor. The latent phase is defined by cervical dilation of 0 to 6 cm. The active phase is defined by cervical dilation of 6 cm to 10 cm.
Latent phase: 0–3 centimeters; Active labor: 4–7 centimeters; Transition: 8–10 centimeters; Complete: 10 centimeters. Delivery of the infant takes place shortly after this stage is reached (although the mother does not always push right away.)
Pre-labor consists of the early signs before labor starts. It is the body's preparation for real labor. Prodromal labor has been misnamed as “false labor." Prodromal labor begins much as traditional labor but does not progress to the birth of the baby. Not everyone feels this stage of labor, though it does always occur.
Partners or others who may plan to support a woman during her labor and delivery learn how to assist in the birth. [citation needed] It is also suggested that a birth plan be written at this time. A birth plan is a written statement that outlines the desires of the mother during labor and delivery of the baby.
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Some of these efforts are: emphasizing a long latent phase of labor is not abnormal and not a justification for C-section; a new definition of the start of active labor from a cervical dilatation of 4 cm to a dilatation of 6 cm; and allowing women who have previously given birth to push for at least 2 hours, with 3 hours of pushing for women ...