Does a Higher BMI Mean Slower Labor? What a New Study Really Shows
If you've ever been told that your weight might lead to complications during labor—take a deep breath.
A recent study looked at over 40,000 vaginal births and uncovered something both surprising and encouraging: Yes, higher BMI is linked to slightly longer labors. But here’s the kicker—that extra time is happening only in early (latent) labor. Once labor becomes active, progression is just as steady across all BMI groups.
Let's break it down in plain language—and talk about how this supports what we teach inside Our BirthRoom Academy.
What the Research Actually Says
The study, published in American Journal of Obstetrics & Gynecology (2025), examined 41,868 vaginal births at term. Participants were grouped by BMI: underweight/normal, overweight, and various classes of obesity.
Here’s what researchers found:
Early (or latent) labor (the "slow build-up" phase before 6 cm dilation) took longer for individuals with higher BMIs.
Active labor (6 cm to 10 cm) progressed at the same pace regardless of BMI.
This was true for both first-time parents and those with prior births—and whether labor started naturally or was induced.
Here’s Why This Matters
Too many families are told that their labor is "too slow" based on outdated standards. For those with higher BMIs, this often leads to early interventions or cesareans that may not have been necessary.
But what this study suggests is simple and powerful:
Your body may just need more time to warm up. And that’s okay.
We need more flexible labor curves that account for BMI—so parents aren’t pressured into rushing what their body is doing just fine.
Why Nutrition and Preparation Still Matter
Let’s be clear: we’re not saying to ignore your health during pregnancy.
Inside Our BirthRoom Academy, we emphasize adequate protein and intentional nutrition not to "manage weight" but to:
Fuel your uterus and muscles
Stabilize blood sugar
Boost stamina for labor
A nourished body supports a smoother, safer labor—regardless of BMI.
You’re not broken. You’re building life.
What We Teach at Our BirthRoom
In Our BirthRoom, we train parents to:
Work with labor, not against it
Spot the difference between helpful monitoring and unnecessary pressure
Equip their partner to be their Daddy Doula
Ask for more time when it matters most
Labor isn’t one-size-fits-all. We prepare you for the birth you envision—not just the one someone else expects.
Want to See the Graphs?
I included the labor progression graphs from the study below. They clearly show that active labor patterns are almost identical across BMI groups. It’s early labor that stretches out a bit.
Visual: Labor Patterns by BMI
The graph above shows labor curves stratified by BMI — from underweight/normal weight, to overweight, and across obesity classes.
What stands out:
As BMI increases, the latent phase (early labor) and first stage tend to be longer.
Once labor moves into the active phase, though — the pace of dilation is similar across BMI groups.
These patterns were consistent whether labor began spontaneously or was induced, and across first-time (nulliparous) and having‑had‑babies-before (multiparous) moms.
So the next time you hear something like “Well, your labor is taking a little too long…”
Remember: Longer doesn’t always mean riskier.
In many cases, the body just needs more time—not more interventions.
Read the Full Study (For the Research Nerds Like Me😉)
Edwards S, Cohen R, Zhao Z, et al.
Characterizing Labor Progression and Duration According to Maternal Body Mass Index.
American Journal of Obstetrics & Gynecology, Nov 8, 2025.
Need Help Advocating During Labor?
If you want to learn how to speak up when something doesn’t feel right—or when someone’s pushing interventions without giving you the full picture? Start with our 1-hour Birth Advocate Blueprint—your mini toolkit for confident, respectful birth conversations.
Your body isn’t broken. It’s beautifully made to birth—at your pace.
