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Nulliparous Women in the Second Stage of Labor: Changes in Delivery Outcomes Between 2 Cohorts From 2000 to 2011

Fitzwater, Joseph L.; Owen, John; Ankumah, Nana-Ama; Campbell, Sukhkamal B.; Biggio, Joseph R.; Szychowski, Jeff M.; Edwards, Rodney K.

Obstetric Anesthesia Digest: June 2016 - Volume 36 - Issue 2 - p 98
doi: 10.1097/01.aoa.0000482635.11184.39
Mother, Fetus, Neonate

Obstet Gynecol. 2015;126:81–86

A prolonged second stage of labor has been associated with increased maternal risk for complications such as puerperal infection, perineal lacerations, and postpartum hemorrhage. It is also associated with neonatal morbidities including admission to the intensive care unit, sepsis, and low Apgar scores. However, ending the second stage of labor based solely on its duration might not be necessary, according to existing research. This retrospective cohort study examined the changes that have occurred over the past decade in both the modes of delivery and the delivery outcomes for women who have not previously given birth.

Department of Obstetrics and Gynecology, Center for Women’s Reproductive Health, Division of Maternal-Fetal Medicine, University of Alabama at Birmingham, Birmingham, AL

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