Second Stage of Labor

Yvonne W. Cheng, Aaron B. Caughey

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Current American College of Obstetricians and Gynecologists' definition of prolonged second stage diagnoses 10% to 14% of nulliparous and 3% to 3.5% of multiparous women as having a prolonged second stage. The progression of labor in modern obstetrics may have deviated from the current labor norms established in the 1950s, likely due to differences in obstetric population characteristics and variation in clinical practice. Optimal management of the second stage in women with and without epidural remains debatable. Although prolonged second stage is associated with increased risk of maternal morbidity, conflicting data exist regarding the duration of second stage and associated neonatal morbidity and mortality.

Original languageEnglish (US)
Pages (from-to)227-240
Number of pages14
JournalClinical Obstetrics and Gynecology
Volume58
Issue number2
DOIs
StatePublished - Dec 1 2015

Keywords

  • Prolonged
  • epidural
  • perinatal outcome
  • second stage

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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