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Introduction to assessment of progress in labour

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Assessment of progress in labour is a vital skill to acquire, and is an integral part of managing a woman in her labour. A diagnosis of inadequate progress either in the first or second stage will allow management decisions to be made to avoid cases of prolonged labour and dystocia.

Learning objectives

When you have completed this tutorial you will:

  • recognise dysfunctional labour when reviewing partograms
  • recognise the potential causes for dysfunctional labour
  • have a knowledge of management and counselling regarding vaginal birth after caesarean section (VBAC)

Last updated:08/03/11 (tutorial was reviewed and updated by Kirstyn Brogan who added a new section on VBAC and a new essay question)

28/01/09 (BJOG paper added in the Preliminary reading and 'Normal labour – Key points sections)

16/10/08 (BJOG paper added under the Preliminary reading and Normal labour – Active management sections).

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