Managing the Second Stage of Labor. Denise M. Bourassa, RNC, MSN Hartford Hospital. Second stage - Defined. Second stage of labor – what is it? Begins with full dilation (10 cm) and full effacement (100%) of the cervix Ends with birth of baby. Second-Stage Labor Management.
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Managing the Second Stage of Labor
Denise M. Bourassa, RNC, MSN
Second stage of labor – what is it?
Begins with full dilation (10 cm) and full effacement (100%) of the cervix
Ends with birth of baby
Published in: British Journal of Obstetrics and Gynaecology, 1983
Design of Study
76 primigravidae with epidurals
Delayed pushing group (n=40)
Early pushing group (n=36)
Authored by: Vause, Congdon, Thronton
when fetal head is engaged and cervix fully dilated:
Multicenter, randomized, controlled trial of delayed pushing for nulliparous women in the second stage of labor with continuous epidural analgesia