II. Definitions
- Arrest of second stage of labor
- No descent or rotation after a fixed time interval or pushing
- Protracted second stage of labor
- Slow rate of dilation and descent
- Nulliparous women
- Duration >3 hours (>4 hours with Epidural Anesthesia)
- Less than 25% of Nulliparous women will deliver vaginally after 3 hours of second stage
- Multiparous women
- Duration >2 hours (>3 hours with Epidural Anesthesia)
III. Exam
IV. Complications: Prolonged Second Stage of Labor
- Maternal
- Fetal
- Neonatal Sepsis
- NICU Admission
- Shoulder Dystocia
V. Management
- See Active Management of Labor
- Occiput Posterior position (or Occipitotransverse Position)
- Consider assisted Vaginal Delivery
