In these cases, arrest of labor
could be due to impaired muscle strength or low calcium levels as a result of vitamin D deficiency.
Arrest of labor was the indication for C-section in 25% of the early epidural group and 21% of the late epidural group, which was not a statistically significant difference, she said.
Among all 281 deliveries (including those without an epidural), 68% were spontaneous vaginal deliveries, 6% were assisted vaginal deliveries, 8% were C-sections for non-reassuring fetal heart tracings, and 18% were C-sections because of arrest of labor.
With respect to dystocia, failure to progress, cephalopelvic disproportion, arrest of labor
, and so forth, a more scientific approach to labor was called for and evidence-based outcomes regarding length of labor as well as strength of contractions and other factors were promulgated in hopes of decreasing the absolute number of cesarean deliveries from these types of indication.
An arrest of labor
is simply not a reassuring sign and should be deemed as a warning not to push this process.
Other maternal indications in this group consisted of uterine myomas (15%), arrest of labor
(12%), bradycardia (6%), fetal anomalies (6%), multiple gestation (3%), and failure to descend (3%).
Lindsay said that his center first got involved in delayed-interval deliveries when patients with multiple gestations presented in preterm labor and gave birth to the first baby but then the patients had an arrest of labor