second stage of labour

Question 1

what is the seocnd stage of labour

Answer 1

The second stage of labour begins with complete cervical dilation and ends with delivery of the foetus.

Question 2

steps of the second stage of labour

Answer 2

The steps of the second stage of labour are:

Foetus head is flexed and descends and engages into pelvis

Foetus internally rotates to face towards the maternal back

Foetal head extends to deliver the head

Foetus externally rotates (restitution) after delivery of the head so that shoulders are now AP position

The anterior shoulder is delivered first and then the rest of the foetus is expelled.

Question 3

common sign of second stage of labour

Answer 3

A common sign of the second stage of labour is maternal desire to push. The second stage can last from 20 minutes to 2 hours.

Question 4

what is defined as a prolonged second stage in both nulliparious and mutli

1 differnce

Answer 4

Prolonged Second Stage of Labour
A prolonged second stage is defined as: in nulliparous women >3 hours with epidural or >2 hours without

in multiparous women >2 hours with epidural or >1 hour without.

Management
A prolonged second stage is an indication for instrumental delivery if possible. caesarean section in the second stage is associated with increased maternal morbidity.

Question 5

prologned secodn stage of labour what do you do

Answer 5

A prolonged second stage is an indication for instrumental delivery if possible. caesarean section in the second stage is associated with increased maternal morbidity.