WHO -Augmentation of Labour
Prolonged labour is an important cause of maternal and perinatal mortality and morbidity. Common underlying causes include inefficient uterine contractions, abnormal fetal presentation or position, inadequate bony pelvis or soft tissue abnormalities of the mother. Identifying the exact cause of slowly progressing labour in clinical practice can be challenging. Thus, “failure of labour to progress” has become one of the leading indications for primary caesarean section, particularly in first-time mothers. There is growing concern that caesarean section is performed too soon in many cases, without exploring less invasive interventions that could lead to vaginal birth.