II. Definition
- Arrest of the Second Stage of Labor
- No descent or rotation after a fixed time interval or pushing
- Multiparous
- No epidural: 2 hours
- Epidural: 3 hours
- Nulliparous
- No epidural: 3 hours
- Epidural: 4 hours
III. Exam
IV. Complications: Prolonged second stage of labor
V. Management
- Occiput Posterior position (or Occipitotransverse Position)
- Consider assisted Vaginal Delivery