A method for automatically monitoring fetal head descent in a birth canal is presented. The method includes segmenting each image in one or more images into a plurality of neighborhood components, determining a cost function corresponding to each neighborhood component in the plurality of neighborhood components in each of the one or more images, identifying at least two structures of interest in each image in the one or more images based on the cost function, wherein the at least two structures of interest include a pubic ramus and a fetal head, measuring an angle of progression based on the at least two structures of interest, and determining the fetal head descent in the birth canal based on the angle of progression.