Evidence-based management of the second stage of labor.
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.
['Polnaszek|Brock E|BE|', 'Cahill|Alison G|AG|']
D036861:Delivery, Obstetric D019317:Evidence-Based Medicine D005260:Female D020567:Fetal Weight D006801:Humans D007746:Labor Presentation D007748:Labor Stage, Second D009765:Obesity D011247:Pregnancy D011248:Pregnancy Complications D013997:Time Factors
Evidence-based management Second stage Immediate pushing Operative vaginal delivery Labor management