The impact of extending the second stage of labor on repeat cesarean section and maternal and neonatal outcome.

Roy LauterbachNaphtali JustmanYuval GinsbergYoav SieglerGal BacharDana VitnerChen Ben-DavidYaniv ZiporiRon BelooseskyZeev WeinerNizar Khatib

Published in: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (2023)

Extension of the second stage of labor is associated with a decrease in repeat CD rate with a concomitant increase in instrumental delivery rates, uterine rupture, fetal acidemia, and NICU admissions. These findings may warrant further consideration of allowing a prolonged second stage in patients attempting TOLAC.

Keyphrases

end stage renal disease
chronic kidney disease
newly diagnosed
preterm infants
patient reported outcomes
birth weight
body mass index
pregnancy outcomes