Active labor begins at 6 cm dilation (contemporary Friedman curve). Expected dilation rate: ≥1 cm/hr in active phase (≥6 cm) for nulliparas and multiparas. Arrest of active phase: no cervical change in ≥4 hours with adequate contractions, or ≥6 hours with inadequate contractions. Latent phase prolongation: >20 hours nulliparas, >14 hours multiparas.
Enter the values for the scenario you are assessing. Active labor begins at 6 cm dilation (contemporary Friedman curve). Expected dilation rate: ≥1 cm/hr in active phase (≥6 cm) for nulliparas and multiparas. Arrest of active phase: no cervical change in ≥4 hours with adequate contractions, or ≥6 hours with inadequate contractions. Latent phase prolongation: >20 hours nulliparas, >14 hours multiparas. Use the cervical dilation rate result to inform your calculation.