Archive for November 8, 2009

Protracted thoughts on protracted labor…

November 8, 2009 108 comments

When I was an intern in Charleston, SC, I quickly learned the importance of the labor curve.  When checking out with my chief, I was often asked the question “Is she on the curve?”  Quickly I learned the idea that women that “fall off the curve” were in a dysfunctional labor pattern, and were more likely to require a cesarean delivery.  I dutifully listened to all this, and did many a cesarean for active phase arrest.  As a junior level I did the cesareans, and as chief I called them.  But at the same time, I had doubts about all of this.
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