Is natural labor beneficial to a vaginal delivery?

Question

Vaginal delivery of human babies includes two often harrowing stages: "Stage 1" consists of "labor" to dilate the cervix, while "Stage 2" encompasses "pushing" the baby out through the vagina.

As far as I have found, the sole purpose of Stage 1 is to dilate the cervix, and this is typically accomplished solely by uterine contractions causing the baby's head to press against it. This seems like a very inefficient mechanism: the cervix begins entirely closed, and the baby's head is somewhat round and about 10cm in diameter. Indeed, debilitatingly painful labor often lasts for many hours.

Balloon dialation devices have been used since the nineteenth century to directly open the cervix during labor. It appears that the current obstetric practice is known as Foley bulb induction. But as far as I have found, such artificial dilation of the cervix is an exceptional measure, not a typical practice. Therefore:

1. Does artificial dilation assistance (not induction) during Stage 1 labor pose a risk that natural dilation does not?

2. Does Stage 1 labor have some beneficial function other than to dilate the cervix?

Answer 1

Q1 - Does artificial dilation assistance during labor pose a risk that natural dilation does not?

You are not going to be able to insert a catheter into the cervix without risk of harming the baby or mother's cervix. Once labour has started, that risk is higher.

Your second link which talks about Foley bulb induction (along with induction methods other than balloon dilation) gives you the answer.

The end of your pregnancy can be an uncomfortable time. You may have back pain, trouble walking, or difficulty sleeping. If you’re past your due date, you may welcome an induction. But it’s important to understand the possible risks of labor induction, which include:

• need for a cesarean delivery
• drop in heart rate from labor-inducing medications
• infection
• umbilical cord problems
• bleeding after birth
• uterine rupture

Given the potential risks, your doctor can choose the safest induction method for your situation.

Q2 - Does labor have some beneficial function other than to dilate the cervix?

Labour is the whole process of giving birth, not just dilation of the cervix. Plus, you state there are 2 stages when in actual fact, there are 3 stages of labour

• Stage 1
  The cervix softens making opening easier and contractions start opening the cervix. Established labour is when your cervix has dilated to about 4cm and regular contractions are opening your cervix.

• Stage 2
  Giving birth to the baby - The cervix is at least 10cm dilated (fully dilated).

• Stage 3
  "Afterbirth" (Expelling the placenta). After which, the midwife will need to check that the whole placenta is expelled to prevent further problems due to post-partum haemorrhage.