Hi everyone on today's podcast we're going to talk about the evidence on

failure to progress in labor.

Welcome to the evidence-based birth podcast. My name is Rebecca Decker and I'm a nurse with my PhD and the

founder of Evidence Base Birth. Join me each week as we work together to get

evidence-based information into the hands of families and professionals around the world.

As a reminder this information is not medical advice.

See EBBirth.com slash disclaimer for more details.

Everyone welcome to the evidence-based birth

podcast today we're going to talk about the research evidence on failure to

progress which is the number one reason for unplanned

Cesarians in the US and it's an extremely common reason for unplanned

Cesarians in many other countries around the world. For example, failure to

progress is the cause of

42% of caesareans in Queensland, Australia, and 34% of caesarians in the

United Kingdom. Failure to progress is probably over-diagnosed in these countries as well as the United States.

In 2013, researchers published a report on more than 38,000 people who had their first Cizarian,

called a primary Cizarian, in the U in the US during a six-year period.

The overall primary cesarian rate in this sample was 21.3 percent, and the cesarian rate

among people giving birth for the first time was 30.8%.

One third of the primary cesarians in the overall sample were due to a diagnosis of failure

to progress, also known as slow progress in labor.

And nearly half, about 41% of the Cizareans and first time

...