Labour progress tool

Labour progress

Based on Abalos et al. 2018 · low-risk women

Patient details
hours
minutes
Distribution comparison
Active 1st stage
5 cm → 10 cm
Reference values
1st stage active
P5
P50
P95
2nd stage
P5
P50
P95
About this tool

What it is

A descriptive labour progress reference tool — not a predictive model. It displays published P5, P50, and P95 duration percentiles for the active first stage and second stage of labour in low-risk women, and shows where an entered elapsed time falls in that reference distribution. The data is stratified by parity, cervical dilatation at the start of timing, and epidural status.

How to use

  • Select parity: Nulliparous or Parous.
  • Select stage and starting dilatation (first stage: 4, 5, or 6 cm; second stage).
  • Select epidural status (where applicable).
  • Enter elapsed time in hours and minutes.
  • The reference percentiles and the position of the entered time update immediately.

What to expect

P5, P50, and P95 reference values for the selected combination (in hours:minutes). The entered time is placed on this scale and its approximate percentile position is shown. An alert is raised if elapsed time is at or above the 90th percentile. This is a reference comparison only — decisions about intervention should be based on overall clinical assessment, not duration alone.

Evidence basis

Abalos E, Oladapo OT, Chamillard M, et al. Duration of spontaneous active first stage of labour and the associated factors in low-risk nulliparous and multiparous women: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2018;223:123–132. DOI: 10.1016/j.ejogrb.2018.02.026
Oladapo OT, Diaz V, Bonet M, et al. Cervical dilatation patterns of "low-risk" women with spontaneous labour and normal perinatal outcomes: a systematic review. BJOG. 2018;125(8):944–954. DOI: 10.1111/1471-0528.14930