Abstract: An apparatus for tracking the labor progress of a patient during childbirth. Clinical measurements associated with a patient are received including a measurement of a previous dilatation of the cervix, a contraction count, a previous level of descent of the child, a previous effacement measurement of the cervix, an epidural status, and a parity status. The clinical measurements are processed to generate an expected future dilatation of the cervix by taking a linear combination of the clinical measurements. The expected dilatation of the cervix can then be used to assist a physician in determining whether a cesarean delivery is appropriate. A system for tracking labor progress is provided including a broker unit, a labor progress unit, and an information-gathering unit. The broker unit coordinates the communications in the system by receiving messages and forwarding messages to the components of the system as well as by providing publish/subscribe capabilities.