The Problem
Labor, measured by hand.
Manual cervical exams remain the standard for tracking labor progression.
Cervical dilation and effacement are still assessed much as they were a century ago: manually, subjectively, and intermittently. A clinician performs a physical exam, interprets findings based on experience, and records a discrete value in the chart. These exams are inherently uncomfortable for patients, carry a risk of infection with repeated assessments, and exhibit meaningful variability between providers.
Between assessments, there is little to no visibility into how labor is progressing. Exams are typically spaced one to four hours apart, creating extended gaps where changes go unobserved. During these intervals, clinicians must rely on indirect signs or wait for the next exam to reassess progression. Opportunities for timely intervention can be delayed, contributing to avoidable complications.