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    Traditionally women in their first labour were given 24 hours (absent other problems) before being diagnosed with “failure to progress”, this has become a lot shorter over time, one reason is because it is actually quite hard to watch another human in agony for 24 hours. These women may well begin labour wishing to deliver vaginally but understandably change their mind. Epidural is an option of course but increases CS rights in its own right. Also there is a strong fear of forceps (again understandable, they look quite scary), in turn driving up CS, and young obstetricians lose skill with forceps, so stop using them.


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