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Podcast: Dr. Chapa’s OBGYN Clinical Pearls
Episode: CONTROVERSY: Second Stage, How Long is Too Long?
Description: There is no controversy regarding the definition of the 2nd stage of labor: it is the phase of labor from 10 cm until complete delivery of the child. However, there has been persistent controversy about what defines a prolonged 2nd stage of labor. In other words, are the hour limits stated by the ACOG “active pushing” or “total duration” in 2nd stage? 🤔 Historically, this has been a very gray area. Even though we have guidance on this going back to 2014 with the ACOG Obstetric Care Consensus 1, “Safe Prevention of the Primary C-Section”, certain phrases within that document caused confusion. Does the ACOG make a dis...