Optimizing Management of the Second Stage of Labor: A Multicenter Randomized Controlled Trial.
Clin Obstet Gynecol
; 67(2): 359-366, 2024 Jun 01.
Article
en En
| MEDLINE
| ID: mdl-38224277
ABSTRACT
To review the findings of the Optimizing Management of the Second Stage of Labor randomized controlled trial in the context of prior and subsequent obstetric literature. A multi-database search was performed in addition to a review of the parent trial and secondary studies. Nulliparous patients with neuraxial anesthesia randomized to either immediate or delayed pushing showed no difference in vaginal delivery rates. However, delayed pushing is associated with an increased duration of the second stage and perinatal morbidity. Patients should be appropriately counseled on the timing of second-stage pushing and the risks of prolonged second-stage labor.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Segundo Periodo del Trabajo de Parto
/
Parto Obstétrico
Tipo de estudio:
Clinical_trials
Límite:
Adult
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Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Clin Obstet Gynecol
Año:
2024
Tipo del documento:
Article