Ld

Arrest of the Second Stage of Labor

search

Arrest of the Second Stage of Labor

  • Definition
  1. Arrest of the Second Stage of Labor
    1. No descent or rotation after a fixed time interval or pushing
    2. Multiparous
      1. No epidural: 2 hours
      2. Epidural: 3 hours
    3. Nulliparous
      1. No epidural: 3 hours
      2. Epidural: 4 hours
  • Complications
  • Prolonged second stage of labor
  • Management
  1. Occiput Posterior position (or Occipitotransverse Position)
    1. See Manual Rotation in Occipitoposterior Presentation
  2. Consider assisted Vaginal Delivery