Second Stage of Labor

  >   Rahul's Noteblog   >   Notes on Ob/Gyn   >   Second Stage of Labor

What happens in the Second Stage of Labor?

The second stage of labor begins with complete cervical dilation and ends with delivery of the fetus. Epidural, spinal, or pudendal nerve blocks (S2-S4) are used if necessary to relieve pain.

Duration:

• 2 hours in primipara.

• 1 hour in multipara.

Management of Normal Spontaneous Labor:

• Episiotomy is performed if necessary.

• IV oxytocin is administered to prevent uterine atony and bleeding.

Prolonged Second Stage:

• Pregnant with regular uterine contractions.

• 10 cm dilation at +1 station.

• No descent change in 3 hours.

Management of Prolonged Second Stage:

• If contractions are hypotonic, administer oxytocin.

• If fetal head engaged, use obstetric forceps or vacuum extractor delivery.

• If fetal head not engaged, do emergency C-section.

Additional Reading:

Notes on Stages of Labor:

1. Diagram of Stages of Labor
2. First Stage of Labor
3. Second Stage of Labor
4. Third Stage of Labor
5. Fourth Stage of Labor

Tests for Fetal Well-Being:

1. Notes on Non-Stress Test
2. Notes on Contraction Stress Test
3. Unresponsive Fetus Algorithm

Periodic Changes in Fetal Heart Rate:

1. Fetal Heart Rate Accelerations
2. Variable Decelerations of Fetal Heart Rate
3. Early Decelerations of Fetal Heart Rate
4. Late Decelerations of Fetal Heart Rate

Types of Spontaneous Abortion:

1. Notes on Complete Abortion
2. Notes on Incomplete Abortion
3. Notes on Threatened Abortion
4. Notes on Inevitable Abortion
5. Notes on Missed Abortion

Random Pages:

Voices from Hell: My Experience in Mussoorie, India Review of Delta Roma Imperiale Fountain Pen
Video of me playing Titanic Piano Theme: The Portrait Notes on Respiratory System
Notes on Arteries of the Axilla What is Folliculitis?
Notes on Lipid Mobilization and Catabolism Notes on Descriptive Statistics
Stepwise Approach to Treatment of Ascites Usage of the D-xylose Absorption Test
Notes on Basic Gastrointestinal Physiology The Existence of Matter
Review of the HMT Janata Hindi Dial wrist watch What is an ELEK`s Test?
Why did I decide to become a doctor? Medical School Admissions Essay Video: Titanic Piano Theme: The Portrait
Corporate Failure: The Enron Case My Experience during the Iraqi Invasion of Kuwait
USMLE Blood Lab Values Regulation of Heart Rate by Autonomic Nervous System
Images of Antibodies Signs you`re being married to for Green Card
Generalized vs Specialized Transduction Differentiation and Anatomy of a Blastocyst
Notes on Cell Components Notes on Nervous Tissue
Voices from Hell: My Experience in Mussoorie, India Video of Cardiology Examination in a Clinical Setting

Please Do Not Reproduce This Page

This page is written by Rahul Gladwin. Please do not duplicate the contents of this page in whole or part, in any form, without prior written permission.