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Contemporary estimates of median and 95th percentile in hours by parity

Contemporary estimates of median and 95th percentile in hours by parity
 

Parity 0

Median number of hours
(95th percentile)

Parity 1

Median number of hours
(95th percentile)
Change in cervix
From 4 to 5 cm 1.3 (6.4) 1.4 (7.3)
From 5 to 6 cm 0.8 (3.2) 0.8 (3.4)
From 6 to 7 cm 0.6 (2.2) 0.5 (1.9)
From 7 to 8 cm 0.5 (1.6) 0.4 (1.3)
From 8 to 9 cm 0.5 (1.4) 0.3 (1.0)
From 9 to 10 cm 0.5 (1.8) 0.3 (0.9)
Duration of second stage
Second stage with epidural analgesia 1.1 (3.6) 0.4 (2.0)
Second stage without epidural analgesia 0.6 (2.8) 0.2 (1.3)
Note the 95th percentile for duration of time to dilate from 4 to 6 cm is almost 10 hours in nulliparous women.
Data from: Zhang J, Landy HJ, Branch DW, et al. Contemporary patterns of spontaneous labor with normal neonatal outcomes. Obstet Gynecol 2010; 116:1281.
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