Reassessing the Duration of the Second Stage of Labor in Relation to Maternal and Neonatal Morbidity. Issue 2 (June 2018)

• Record Type: Journal Article
• Authors: Grantz, K.L.; Sundaram, R.; Ma, L.; Hinkle, S.; Berghella, V.; Hoffman, M.K.; Reddy, U.M.
• Is Part Of: Obstetric anesthesia digest. Volume 38:Issue 2(2018)
• Publication Date: 2018-06
• Subjects: Obstetric Complications -- Maternal Morbidity and Mortality -- and Neonatal Morbidity and Mortality; Anesthesia in obstetrics -- Periodicals; Anesthesia in obstetrics -- Abstracts -- Periodicals; 617.968205
• DOI: 10.1097/01.aoa.0000532263.77010.0d
• Languages: English
• ISSNs: 0275-665X

Abstract

Abstract : ( Obstet Gynecol . 2018;131(2):345–353) Prolonged second stage of labor is associated with an increased risk of postpartum hemorrhage, maternal febrile morbidity, infection, perineal trauma, and neonatal morbidities. Previously, the Society for Maternal-Fetal Medicine and American College of Obstetricians and Gynecologists in an effort to reduce an initial cesarean section in patients receiving epidural analgesia, recommended that second-stage arrest be redefined by the addition of 1 hour: 4 versus 3 hours for nulliparous women with an epidural, and 3 versus 2 hours for multiparous women with an epidural. In the present study, the authors calculated the likelihood of vaginal birth without serious maternal or neonatal morbidity or mortality compared with birth with morbidity or mortality, so as to better inform clinical decision-making.