What Factors Influence the Progression of Childbirth? | Taking Charge of Your Wellbeing (2024)

American College of Obstetricians and Gynecologists (ACOG). (2005). Intrapartum fetal heart rate monitoring. ACOG practice bulletin No. 70. 2006 Compendium of Selected Publications. Washington, D.C.: ACOG.

Enkin, M., Keirse, M., Neilson, J., Crowther, C., Duley, L., Hodnett, El, & Hofmeyr, J. (2000). A Guide to Effective Care in Pregnancy and Childbirth, 3rd ed. New York: Oxford University Press. The full text of this book is available online.

Simkin, P., and Ancheta, R. (2005). The labor progress handbook, 2nd ed. Oxford: Blackwell Publishing.

Thorp, J.A., Hu, D.H., Albin, R.M, et al. (1993). The effect of intrapartum epidural analgesia on nulliparous labor: a randomized, controlled, prospective trial. American Journal of Obstetrics & Gynecology, 169(4), p. 851-858.

Varney, H., Kriebs, J.M., & Gregor, C.L. (2004). Varney's midwifery, 4th ed. Sudbury, MA: Jones and Bartlett.

Wong, C.A., Scavone, B.M., Peaceman, A.M. et al. (2005). The risk of cesarean delivery with neuraxial analgesia given early versus late in labor. New England Journal of Medicine, 352, p. 655-665.

Additional Reading

The Thinking Woman's Guide to a Better Birth. 1999. Henci Goer. Perigee Trade.

What Factors Influence the Progression of Childbirth? | Taking Charge of Your Wellbeing (2024)

FAQs

What factors influence the progression of childbirth? ›

The progression of labor, in addition to normal uterine contractions and appropriate cervical dilation, is influenced by a variety of factors, including the pelvic structure of the parturient, the fetal position and alignment, the attitude of the parturient, the support received from the attendant, and the effective ...

What are the factors influencing the progress of labor? ›

Successful labor involves three factors: maternal efforts and uterine contractions, fetal characteristics, and pelvic anatomy. [1] This triad is classically referred to as the passenger, power, and passage. [1] Clinicians typically use multiple modalities to monitor labor.

What are the factors that may affect the childbirth of your patient? ›

Causes of prolonged labor include:
  • slow cervical dilations.
  • slow effacement.
  • a large baby.
  • a small birth canal or pelvis.
  • delivery of multiple babies.
  • emotional factors, such as worry, stress, and fear.

What are the factors that affect the process of labor and birth known commonly? ›

Some of the factors that affect the course of labor include your health, nutrition, size and shape of your pelvis, size and presentation of the baby, your educational preparation for labor and birth, and the practice of exercises, relaxation and breathing techniques.

What are the major factors affecting birth? ›

Factors Affecting Fertility
  • Age. Female age is the most important factor affecting fertility. ...
  • Previous Pregnancy. ...
  • Duration of subfertility. ...
  • Timing and Frequency of Sexual Intercourse. ...
  • Lifestyle Factors.
  • Weight. ...
  • Smoking. ...
  • Caffeine.

What are the four major factors that interacts during normal childbirth? ›

These components are grouped into 4Ps: power, which refers to uterine contractions and maternal pushing efforts; passage, which refers to the maternal pelvis that the baby passes through during labor; passenger, which refers to the fetus and placenta; and psyche, which refers to the client's psychological status during ...

What are the factors that influence labour? ›

The study found that internal factors, such as the timely supply of materials, proper supervision, adequate tools and equipment, and clear communication, were among the most critical factors affecting productivity.

What makes labor progress? ›

The first stage of labor and birth occurs when you begin to feel persistent contractions. These contractions become stronger, more regular and more frequent over time. They cause the cervix to open (dilate) and soften as well as shorten and thin (efface) to allow your baby to move into the birth canal.

Which factor affects the process of labor and birth quizlet? ›

The factors that affect the process of labor and birth, known commonly as the five Ps, include all except: Pressure. The five Ps are passenger (fetus and placenta), passageway (birth canal), powers (contractions), position of the mother, and psychologic response.

What are 3 effects of childbirth on the mother? ›

These include pain during sexual intercourse (dyspareunia), affecting more than a third (35%) of postpartum women, low back pain (32%), anal incontinence (19%), urinary incontinence (8-31%), anxiety (9-24%), depression (11-17%), perineal pain (11%), fear of childbirth (tokophobia) (6-15%) and secondary infertility (11 ...

What are the factors influencing birth preparedness? ›

Place of residence, occupation, having knowledge about birth preparedness and complication readiness, and having knowledge about danger signs during pregnancy were the factors associated with birth preparedness and complication readiness.

What are the factors affecting maternal health? ›

Contributing factors

Some of these factors include higher rates of chronic conditions in minor communities, lower rates of prenatal care, and lower rates of insurance coverage. Furthermore, teen pregnancy rates are higher in minority communities, which is a risk factor for pregnancy or birth complications.

What are the factors that influence the progress of labor? ›

Progress in labor is determined by the assessment of four components (four Ps): Power (strength of uterine contractions); Passenger (size and position of the fetus); Passage (awareness of adequacy of the pelvis);

What are the 5 P's of delivery? ›

5 Ps of Labor: Overview. The 5 Ps of labor are a useful way to remember and understand the key elements of labor progression: passenger (the fetal position), passageway (the maternal pelvis anatomy), powers (contractions and pushing), position (labor positions), and psyche (the birthing client's mental state).

What are the 4 P's of labor and birth? ›

The adage of the “Four P's” of labor has been described for decades. The “P's” are defined as power (strength of contractions/pushing), passage (shape of maternal pelvis), passenger (size of fetus) and position (of the fetus with respect to the pelvis).

What factors influence the length of labour? ›

Stepwise linear regression showed that duration of labor was positively correlated with the weight of the infant, duration of pregnancy, weight gain and prepregnant weight.

What are the factors that affect the duration of the first stage of labor? ›

Variables associated together against old first stage of labor is the age, parity, and contraction. Research variables most associated is contractions. It is therefore expected his helper were able to observe exactly so they can know that the first stage of labor lasted physiological or not.

References

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