THE FORCES OF LABOUR

Abstract

Despite an impressive amount of effort and extensive research, our knowledge of parturition remains scant. Although numerous scientists have investigated “the timing of birth”, we still have a limited understanding of the biological mechanisms that control events initiating delivery, or the availability of methods supposed to prevent these mechanisms from acting inappropriately. A multitude of factors and structures are involved; the myometrium, cervix, placenta and the fetus must act in concert to assure successful delivery. We do know that achievement of a “perfect” contractile force is not the sole factor. Successful delivery is also impacted by subtle differences in pelvic shape or size.