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Evidence-based management of the second stage of labor

Brock E Polnaszek1, Alison G Cahill2

  • 1Department of Obstetrics and Gynecology, Washington University in Saint Louis School of Medicine, 901 Forest Park Avenue, Saint Louis, MO 63108, United States.

Seminars in Perinatology
|December 17, 2019
PubMed

The second stage of labor is defined as the time from complete dilation of the cervix to delivery of the fetus. The objective of this seminar is to provide a contemporary, evidence-based approach to management of the second stage of labor. This seminar reviews background maternal and fetal characteristics that impact the duration of the second stage of labor, the recommended evidence-based management (e.g. immediate pushing, manual rotation, operative vaginal delivery), and the maternal/neonatal morbidity clinicians must consider when deciding between operative delivery and a prolonged second stage of labor.

Keywords:
Evidence-based managementImmediate pushingLabor managementOperative vaginal deliverySecond stage

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