"Cesarean delivery for active phase arrest in the first stage of labor should be reserved for women at or beyond 6 cm of dilation with ruptured membranes who fail to progress despite 4 hours of adequate uterine activity, or at least 6 hours of oxytocin administration with inadequate uterine activity and no cervical change."
I love this pic from a birth almost 5 years ago. This was the laboring mama and her own mother during an intense contraction.
I appreciate there is specific criteria that we can look to in making the decision to move to a cesarean birth. Basically, if a woman whose water has broken has not had any cervical changes (measurable progress, right?) after 4 hours of effective contractions, OR after 6 hours of pitocin, cesarean may be warranted.
One thing to keep in mind: there are more ways to progress in labor than just cervical dilation. Progress can be baby moving down in the pelvis, even if the cervix seems to be at the same dilation number (eg, first vaginal exam mom was 3 cm, baby was -4 station; next VE mom is still 3 cm, but baby is -1 station -- baby has come down regardless of where mom's cervix is, and that shows progress!).
♥ four young boys and a boy dog (offspring)