Can a Bag of Water really cause failure to progress
Patient :I have had 2 vaginal deliveries. The first was in a hospital with an OB and I arrived at 7cm dilated 0 station, and with a "bulging" bag of water. My Dr. performed AROM and my baby was posterior. It took 2 hours for me to dilate to 10 and have my baby. My second vaginal delivery I chose to have my baby at a birth center with a midwife. With this delivery, I again, showed up to the birth center at 7cm dilated 0 station, with a bulging bag of water. She on the other hand did NOT break my water. She said that AROM statistically has not been proven to speed up labor and that it would eventually break on its own. After several checks to confirm baby's position, I was told he was in a good position and we just need to "wait" for him to come down. He never did. I suffered for 7 hours of contractions with absolutely no change. Finally after I told them if they didn't break it, I was going to transfer to the hospital, she broke it and I was pushing within 20 min and had my baby 15 min after that. So my question is can a "tough bulging" bag of water have been the cause of a 7 hour transition and if so can you explain to me medically why that is?
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