Arrest of the Second Stage of Labor

Aka: Arrest of the Second Stage of Labor

advertisement

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

III. Exam

  1. See Leopold's Maneuvers (Fetal Position)

IV. Complications: Prolonged second stage of labor

  1. Chorioamnionitis
  2. Neonatal Sepsis

V. Management

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

VI. References

  1. Dresang (2015) Am Fam Physician 92(3): 202-8 [PubMed]

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Arrest of the Second Stage of Labor." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies

Related Topics in LAD

advertisement

2020 Family Practice Notebook, LLC. Terms | Privacy (EHS) | About | Site Map | Blog

Footer Site Logo