[INFLUENCE OF DIANATALO OBSTETRIC GEL ON THE LENGTH OF SECOND STAGE OF LABOR.]

One of the risk factors for the occurrence of occult anal sphincter injuries (OASIS) and pelvic floordamage is the increased duration of the second stage of labor; leading to a relatively high incidence of perineal trauma, which in the majority of cases remains unrecognized. If we can decrease the duration of second stage of labor we could also expect a statistically significant decrease the incidence of OASIS in clinical practice. Purpose and Goals To identify changes in the length of the second slage of labor fater adminidtration of Dianatal® obstetric gel. Material and methods The study enrolled 33 primiparous women after vaginal delivery in General Hospital Trbovlje, Slovenia between January and June 2012. We also included 19 more patients, delivered between May and July 2011 in the Department of Obstetrics, University Hospital - Pleven, and 8 patients, delivered between February and October 2013 in Women's Health Hospital "Nadezhda" - Sofia Results We were able to observe a significant decrease in second slage of labor in relation with administration of Dianatal® obstetric gel. Discussion Shortening the period of expulsion of the fetus through the use of obstetric gel can significantly reduce the incidence of birth trauma and minimize complications related to delivery trauma - anal and urinary incontinence, changes in the statics of pelvic organs, sexual dysfunction and as a result poor quality of life.