Cervical dilation is (now mathematically shown to be) unpredictable

6837374663_6b23e8379eCervical dilation is unpredictable. And we can now prove it with maths.

I realise that this will not come as a shock to most people who read my blog. And many people don’t need research to confirm their experiences. But I think it is important to share the findings of studies which add weight to traditional knowledge and/or progress our thinking about everyday areas. So it is in that vein that I share the following research.

A team of researchers in Italy has confirmed that, in spontaneous, naturally progressing labour, the rate of cervical dilatation is largely unpredictable.

That’s about it really.

Sure, they did really clever maths to get there, but I don’t suppose that many people will look that up. In part because those who know this won’t need the confirmation. And those who deny it aren’t likely to be open to changing their minds. They have too much of a vested interest in managing birth.

But, for those who would like to know, women who are left to their own devices will labour at their own pace.

Sometimes faster, sometimes slower. Sometimes in response to what is going on around them. And most times quite unpredictably.

Like I said though, it can be good to have studies to back up this kind of knowledge. And not just for the dull reason that we live in a world which seems to demand scientific proof of everything. Pretty much regardless of whether that is the best approach to investigating everything we want to know about.

3488377962_e546d8958dWatching scientists try to measure and predict the rate of cervical dilation in labour is somewhat similar to watching a cat chase the beam of light emitting from a torch that someone is projecting onto the wall.  Utterly pointless fun for a bit, but not something you’d want to spend a whole day doing. And maybe not fun at all for the women, who may be asked to undergo more vaginal examinations than usual in order to help ensure that enough data are gathered.

I do differ ever so slightly from the researchers on the question of what we do with this knowledge.

They conclude that, “future research in labor and delivery should be focused on the diagnosis of the causes that lie behind apparently erratic cervical changes”. I’m a bit unsure about whether this is appropriate or necessary or useful.

I agree that it’s all well and interesting to ask and study the patterns of nature, but I’m not convinced that diagnosis is generally a necessary feature of a normal, physiological journey. And frankly, I don’t think there are easy, linear relationships to uncover here.  So how about we redirect that research funding into teaching more people to watch and respect? Maybe even to knit? It would make a nice change to the constant measuring, meddling and messing about with what is a normal and healthy part of women’s lives.

If you’d like to stay up-to-date with birth-related research and thinking, make sure you’re subscribed to our free newsletter list, which means you’ll get Sara’s monthly Birth Information Update.
And if you’re a midwife or other birth worker who enjoys unpacking research, seeing what’s behind the headlines and sharing wisdom with like-minded others (knitting optional!), come and join Sara and colleagues from all over the world in one of our online courses!

 

Ferrazzi E, Milani S, Cirillo F et al (2015).  Progression of cervical dilation in normal human labor is unpredictable. Acta Obstetricia et Gynecologica Scandinavica.  Online ahead of print. DOI: 10.1111/aogs.12719
photo credits: The Time and Light spot chasing fun both via photopin (license)

14 comments for “Cervical dilation is (now mathematically shown to be) unpredictable

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.