Childbirth is a high anxiety event and the #1 reason for hospital admissions in the United States. It is associated with maternal fear and anxiety often due to potentially extended durations of pain and variable outcomes. 

Dystocia is a slow or difficult delivery during natural birth. It prolongs labor, increasing morbidity, resources, costs, health risks to mother and infant. Nearly 1 million delivery attempts are clinically diagnosed with Dystocia each year and persistent drug resistant dystocia results in 360 000 singleton low risk vaginal delivery attempts to eventually be abandoned for a C-section and another 280,000 singleton low risk vaginal delivery attempts to endure full active labor >12 hours.

Physicians lack viable options for actively managing drug resistant dystocia. The only accepted clinical intervention is a surgical C-section which increases the mother's risks of severe morbidity, wound hematoma, major infections, cardiac arrest, wound disruption, hysterectomy, thrombo embolis, and hemorrhage.   Each C-section also increases the average hospital stay duration, post-operative care, and maternal recovery from 1-2 weeks for a vaginal delivery, to 3-6 weeks, and subsequent commercial payment due to post surgical recovery resources.

The lack of clinical options valuing obstetrcian time and expertise is the top reason US C-section rates have risen to 32%; significantly greater than the 24% upper targeted threshold by CMS and over twice the upper targeted threshold of 15% by the World Health Organization. Multiple initiatives and policies by the American Congress of Obstetricians and Gynecologists, Society for Maternal-Fetal Medicine, American Association of Family Practitioners, and Healthy People 2020 support initiatives to ensure natural delivery when safely possible

A variety of articles have highlighted the need for additional birthing solutions available to obstetricians. Here's a starter.

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