So it is a head postiton and a taught bag. The cervix sometimes can only do so much without the help of the baby. When the cervix is 6-7 cm for a week then you get lots of contractions and the water bag is taught and the dilation is going no where...... maybe it's time to break the bag. Swooosh and out the baby comes in 20 mins. A wise midwife once said " the waters gotta break sometime". The most important thing is to know the right time to do that so that the baby comes and all is well. As students you will learn when the right time is and yes you will have times when you are not sure. Remember this, if the cervix is dialated to 6-7 and the mom is contracting so that the bag gets a bubble of taught and there is no progress, consider it. If you transport because of a "lack of progress" the first thing they are going to do when you get there is break the bag and have the baby. Baby must be head down and at a -1 to 0 station too. Then swoosh the baby is out. Be smart, review what you have at hand and then be a midwife and get the baby born.
Oh an on a more humorous note... I really like the hard black tubs we use. Then are sturdy and rarely spring a leak. Yes they have had a leak of two but the blow up tubs are just asking to have a hole. The tub we used got three holes before we ever even birthed in it. Off to the store at midnight to find patch kits which ended up being a metal water proof tape because we couldn't find any. Now mind you the company will send another tub but that is not something a baby is willing to be patient for.
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