Feb 022011

“20-25% of women can’t dilate to 10cm” – OB during the follow-up visit of a new mother who had a cesarean section.

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 February 2, 2011  cervix, Cesarean, OB, postpartum  Add comments

  52 Responses to ““20-25% Of Women Can’t Dilate To 10 CM.””

  1. 60% of the time, this tactic works every time…

  2. 95% of the time 19% to 24% of those woman would have dilated to 10 cm if left alone without interventions

  3. And yet there are countries with c-section rates lower than your (made up) statistic! I guess that *must* mean that some women don’t dilate to 10 cm because they don’t need to?

  4. 47% of statistics are made up on the spot.

  5. I have no idea how the human species has survived, with a quarter of us unable to produce young without modern medicine and those that can are unable to feed those young without the support of formular companies:(

  6. Yes, you can do things to women that will prevent them from dilating 25% of the time. Why do we extrapolate from that that the WOMEN are at fault?

    • THIS!

      just because that ruler you just stuck in someone’s cervix says “9″ doesnt mean that if you leave her the F alone it wouldnt happen :)

      • Ouch. I’d rather not have a ruler stuck in my cervix, thanks. It’s painful enough when it’s just someone else’s fingers. Heck, I can even feel it when it’s my fingers. Except that I really can’t, obviously, since the cervix has no nerve endings.

  7. This doc is wrong. It’s higher than that. Otherwise, how is our national cesarean average over 30% already? And in NJ it’s over 40%?
    He should really read more before he says the wrong numbers. (Idiot.)

    • So 25% can’t dilate and 30-40% have c-sections so the 5-15% difference must be the unnecessary ceseareans doctors say don’t happen!

      • nah, those are the breeches.

      • Just today I was telling someone about this site and talking about how many unnecessary c-sections are happening. She said, “Yeah, that’s because women don’t want to go through labor anymore.”

        People are so f-ing brainwashed.

        • It’s ironic, because most of the women I’ve spoken with who had c-sections and vaginal births said their c-section was MUCH more painful, traumatic, difficult to recover from, and they’d rather have a long hard labor and vaginal birth any day.

          I’ve never had a c-section. Some of the women who had both had surgery first and then VBAC. At least one had children vaginally first, a medically necessary c-section, and VBACs after that.

          I’m hoping I won’t need a c-section. If it’s necessary, I’ll deal with it, but I wouldn’t want to schedule a major abdominal surgery for a normal healthy biological process!

          I don’t schedule tube-feedings for myself when I’m hungry, because I am capable of chewing and swallowing my food. I don’t have someone show up with a catheter when I have to pee because I have bladder control and a properly functioning urinary system. I don’t have surgery to give birth if it’s not an emergency, because my reproductive system works fine without it. Elective c-sections boggle my mind. I’m sure some people have legitimate reasons for them, but I can’t wrap my head around the concept.

        • My local hospital just moved into a brand-new state of the art facility. They SAY their 28% c-section rate is normal and mostly due to repeats, and they SAY they support VBACS but they also installed an operating room JUST for c-sections!!! Aargh!

      • The rest of them are all placenta problems that aren’t on the increase from previous cesareans.

  8. Well when you start doing things to women to upset them, yeah. Lets see you drop your drawers and pee in a cup with 20 people watching and see if you can do it.

  9. 20-25% of women are stupid enough to be in labor at 4:30 PM on Friday.

    20-25% of OBs can’t stand to let first-time moms go past 39 weeks.

    20-25% of first-time moms don’t respond well to Pitocin or epidurals.

    Oh, and all statistics are made up.

  10. Evolution would disagree with you doctor. Last I checked, the maternal death rate was 1 in 10 in times past, not 1 in 4.

    • Actually, a more accurate estimate of maternal mortality rates (before the advent of sepsis carrying hospitals and doctors) is about 1 in 100 or 1%. (Dublin Maternity Hospital 1784–1849).

      A mortality rate of 0.2% was recorded in a research project on traditional maternity care in Angola. (Journal of Medical Systems, 1999).

      Schofield, Dobbie, and Loudon estimate that maternal mortality rates between 1400 and 1800 were between 1 and 3 percent.

      Imagine that – they didn’t even have (gasp) pitocin, epidurals, ultrasound, monitors, or OBs.

  11. Ah, but the doctor left out part of that sentence. “in the time span I give them”. So he didn’t lie (in his mind), he just left out part of the information. A significant part, but hey, he’s the doctor, right? *eye roll*

  12. Scary. But not surprising.

  13. Are they the women who have to dilate to 9cm or 11cm to be fully dilated then doctor?

  14. Tell you what. You continue to focus on innovations for pulling bogus statistics out of your arse, and in the future, I’ll focus on pushing a baby out of my womb. No cervical checks required for that.

  15. Okay, Dr. and your source for this statistic is what? Oh, you just pulled it out of your butt?

  16. Because they’re not allowed to – because an impatient jackass is waiting to section the mother because she’s “taking too long.” Or because her cesarean is already scheduled. So yes, you’re right in a way, Dr. Asshat. :?

  17. … before my 3 pm Tee time.

  18. Hey, maybe this OB is right! With head molding, maybe 20-25% of mothers don’t dilate to 10 because 9.5 or 9 is good enough! Perhaps this OB is trying to reassure Mommy that her body works, and that 10 centimeters is an arbitrary number that has no real meaning in actual childbirth, because of the way that medical people measure “centimeters”…

    No, wait… That’s just wishful thinking on my part.

  19. Since many women don’t NEED to dilate to a 10, sure. But I’m betting you never see those women, Doc.

    • I don’t know that many women don’t need to dialate to 10. I’ve done the math, and I think plenty go to 11 after the baby’s head has engaged – when nobody is poking around in there. The proof is in a c-section rate round 5% in the 1960′s. Keep in mind that included mainly the real reasons for c-section like placenta previa or a transverse lie.

      • Yes, some women don’t need to dilate to a 10 (one midwife charted her experiences and came across many who birthed at a 5-6–the only thing that should dictate when is mom’s urge to push). Some need to go to a 13. 10 was another average that has been long forgotten as not a rule, but an average.

  20. I’d REALLY like to see this study.

    How many hours did the women labor before it was confirmed that they “couldn’t dilate”? Were there control groups to rule out complications from epidurals and disheartening doctors?

  21. I’d just like to thank the ladies contributing to this site for expanding my vocabulary. Without your touching stories and responses, I would never have added such gems like asshat, Dr. Stabby-hands and douchewaffle to my mind. Awesome.

  22. As Mark Twain said, “there are three kinds of lies. Lies, damned lies and statistics”. This one pretty much hits the home run because it’s really all 3.

  23. [...] “A lot of women can’t dilate all the way.” [...]

  24. Um, hi. I had a c-section because I could only dilate to a 6 with an 8lb baby. I was in hard labor 24 hours with no dilation. I had extreme unexplained bleeding and full contractions 1-3 min apart 1 min long. At the end before the surgery my baby’s heart rate was over 200 beats per min and could not be controlled. I had the perfect, healthy pregnancy. Are you saying the C-section wasn’t needed? What a bunch of crap.

    • Are you saying you are 20-25% of women? Because I’m fairly sure there are more than 5 women in the world so “it happened to me” is hardly enough to ‘verify’ this doctor’s statistic. No one here said it *never* happens… but the idea that it happens to 20-25% of women is what is a bunch of crap.

  25. I really don’t care what statistics say because everything is case by case…and I am greatful for the c-section. I went 24hours after my water broke and only dialated to 2cm. My baby was in distress…maybe could have died. My second after 8 hours…I only dialated to 1 cm after my water broke. The 3rd…I just scheduled the c-section. Of course if you can go natural…do it. But not everyone is able and should not feel less than. My first was 9lbs…my second 8lbs 7oz.. On the other hand I had no problems breast feeding and when needed to leave baby behind could fill a 12oz bottle in less than a minute. So…that being said…each mom needs to do what feels right for them and not worry about statistics. Lets just support our mom’s and greet these little ones into the world with open arms. Congrats on the little ones in your life!!!!

  26. I gave birth naturally with no medical intervention to a 9+ pound baby at 9 cm. I didn’t dilate past 9 with my other child either. some women really don’t dilate to 10 cm. something to do with shape of pelvis, width of hips, or issues with cervix. for me, its bc all of my organs are at a 45 degree turn from where most people’s are.

  27. I’m wondering if he had the primary c-section rate in mind.

    Still a stupid comment.

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