09/07/2025
Have you heard of the 5 P’s of labor progress?There are 5 major factors that contribute to the natural progress of labor to the desired outcome of a safe, vaginal delivery. When labor does not progress as expected- each of these areas can be looked at and adjusted so progress may continue.
***Passenger-the baby! While we can’t change the baby’s size, the position of the baby(which way they are facing), the flexion or extention of their neck can determine how easily they pass through the the birth canal. We can help baby move into a better position! And the baby itself is made with a moldable head it changes shape to fit through!- Our miraculous bodies were designed for this!
***Passage- The bony structure of the pelvis, and the soft structures of the pelvic floor muscles and perenium. Many people think of the pelvis as one solid bony structure- but it’s comprised of three articulating bones-your flexibility going into labor, and the way you move during labor (position changes!) can absolutely make more space, helping your baby to more easily fit through.
*** Power. Contractions. How strong and frequent are the contractions working to move the baby down, and through? There are natural, and medical ways to increase the power of contractions, and interventions that can help us assess if the strength is adequate so this can be perfectly balanced.
***Position- closely relate to passage- the position of maternal body from arms, to back and hips, even the rotation of your legs and ankles changes the space baby has to move through. Laying on your back in the bed for hours is NOT helping your birth progression!
***Psyche. Maternal mental and emotional state.
Our bodies can only be in the sympathetic nervous system (fight or flight-upset/afraid) or in the parasympathetic nervous system (feed & breed-relaxed, where oxytocin in produced). If we are upset and feel unsafe- our body literally slows or stops our labor progress!
Each of these vital pieces help determine if labor progresses fast, slow, or not at all. As a doula, I’m trained to help laboring moms maximize what can be adjusted in each of these factors, helping you reach for your best birth.
Is it any wonder that research shows mothers with experienced doulas have shorter labors, with fewer interventions, less pain medications, better birth memories, and up to 30% lower csection rates?