II. 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

IV. Complications: Prolonged second stage of labor

V. Management

  1. Occiput Posterior position (or Occipitotransverse Position)
    1. See Manual Rotation in Occipitoposterior Presentation
  2. Consider assisted Vaginal Delivery

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