Contraction dysfunction means that contractions are irregular, weak, or not coordinated enough to help the cervix open. They may be too close together, too far apart, or simply not strong enough to move labour forward. This is common, especially in first-time births, and does not mean anything is wrong with you or your baby — it simply means the body may need more time or support.

Sometimes labour begins well but contractions lose their rhythm later. In other cases, contractions are very painful but still ineffective because they are not helping the baby descend. This can be exhausting and discouraging, especially after many hours.

Your midwife monitors the pattern, strength, and effect of the contractions. Suggestions may include movement, new positions, rest, or pain relief to help your body regain rhythm. Warmth, a shower, or a change of environment can also help.

If contractions remain ineffective, you may be offered medical support such as oxytocin infusion. This helps the uterus find a more regular pattern. Any intervention is discussed with you so you remain fully involved.

Contraction dysfunction does not predict the outcome — many labours progress beautifully once the rhythm returns.

Alma’s tips

• Move gently and change positions regularly.

• Rest whenever you can — fatigue affects contraction strength.

• Tell your midwife if the contractions change or lose intensity.

• You’re not doing anything wrong. Sometimes the body just needs support.