Slow progress means the cervix is opening more slowly than expected, or the baby hasn’t descended despite contractions. This is common, especially in first-time births. It doesn’t reflect your ability to give birth — it simply means your body needs more time.

Fatigue, tension, fear, the baby’s position, or irregular contractions can all play a role. Your midwife monitors dilation, contraction patterns, and the baby’s position to understand what your body needs.

Changing positions, moving gently, using a birth ball, taking a warm shower, or resting can all help. Many people notice that labour picks up again once they feel more rested or secure. Pain relief can also help the body relax and work more effectively.

Breathing matters. Take slow breaths and try to relax your shoulders and jaw — relaxation supports oxytocin flow and helps your body work more smoothly. When your body softens, the baby has more room to descend and contractions often become more coordinated.

If needed, an oxytocin infusion can be offered, and this decision is always made together with you.

Alma’s tips


• Slow breathing and relaxed shoulders can support your body’s rhythm.


• Rest when you’re tired — labour requires energy.


• Ask for pain relief or extra support if you need it.


• Slow progress is normal. You’re not doing anything wrong.

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