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:

Life in a Drop of Water My First Computer - Pentium with Windows 95
Video of me playing Ludwig van Beethoven - "Moonlight Sonata" (1st Movement) Notes on Male Reproductive System
Notes on Lymph Nodes of the Axilla Notes on Chlamydia
Notes on Nitrogen Fixation (Metabolism) reactions, and Heme Metabolism Notes on Correlational Techniques
Significance of Glycosylated Hemoblogin (HbA1c) Diagram of Gastric Blood Supply
Notes on Basic Gastrointestinal Physiology Voices from Hell: My Experience in Mussoorie, India
Body-Mass-Index, Waist-to-Height Ratio, Body Fat, Basal Metabolic Rate Calculator 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 What is Steady State Concentration?
Notes on Nervous Tissue 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.