Defining and Managing Normal and Abnormal Second Stage of Labor - 07/11/17
, Aaron B. Caughey, MD, PhD cRésumé |
The American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin No. 49 on Dystocia and Augmentation of Labor defines a prolonged second stage as more than 2 hours without or 3 hours with epidural analgesia in nulliparous women, and 1 hour without, or 2 hours with epidural in multiparous women. This definition diagnoses 10% to 14% of nulliparous and 3% to 3.5% of multiparous women as having a prolonged second stage. Although current labor norms remained largely based on data established by Friedman in the 1950s, modern obstetric population and practice have evolved with time.
Le texte complet de cet article est disponible en PDF.Keywords : Second stage of labor, Length of labor, Epidural, Cesarean
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| Disclosure Statement: The authors have no financial relationship with a company that has any relationship with the content of the article. |
Vol 44 - N° 4
P. 547-566 - décembre 2017 Retour au numéro
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