Abstract
The American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin No. 49 on Dystocia and Augmentation of Labor defines a prolonged second stage as more than 2 hours without or 3 hours with epidural analgesia in nulliparous women, and 1 hour without, or 2 hours with epidural in multiparous women. This definition diagnoses 10% to 14% of nulliparous and 3% to 3.5% of multiparous women as having a prolonged second stage. Although current labor norms remained largely based on data established by Friedman in the 1950s, modern obstetric population and practice have evolved with time.
Original language | English (US) |
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Pages (from-to) | 547-566 |
Number of pages | 20 |
Journal | Obstetrics and Gynecology Clinics of North America |
Volume | 44 |
Issue number | 4 |
DOIs | |
State | Published - Dec 2017 |
Keywords
- Cesarean
- Epidural
- Length of labor
- Second stage of labor
ASJC Scopus subject areas
- Obstetrics and Gynecology