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This document discusses the diagnosis and management of a prolonged second stage of labor. It defines a prolonged second stage as greater than 3 hours of pushing for nulliparous patients or greater than 2 hours for multiparous patients. However, up to 4 hours for nulliparous patients with an epidural may be appropriate if progress is documented. The incidence of a prolonged second stage is 7% for nulliparous patients pushing over 4 hours and the rate of cesarean delivery increases to 67% at that duration. C

Author

sandrogvaladze

Language

EN