Doula

Category - Labor & Birth

Aside from dilation and effacement, there are other ways to determine that labor is progressing. Which of the following is NOT one of these ways?
  1. The cervix moves from a posterior to anterior position.
  2. The fetus engages in the pelvis.
  3. The amniotic sac ruptures.
  4. The cervix ripens.
Explanation
Answer: C - While for about 10% of women, the bag of waters breaks at the onset of labor, for most mothers this happens at some point during labor. The "six ways to progress" in labor were popularized by Penny Simkin, and include the cervix ripening or softening, the movement of the cervix from back to front to better align with the birth canal, effacement, dilation, rotation of the fetal head to fit through the pelvis, and fetal descent measured as pelvic station. This is why labor takes so long!
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