Written by Dr.M.D.Mazumdar, MD
The second stage of labour is said to be delayed if there is no delivery of the baby even after 2 hours of full dilation of the cervix in a first pregnancy and 1 hour in a woman with previous pregnancies.
There are various causes of delay in the second stage of labor, all of which are closely linked to each other.
For example, the second stage can get delayed due to lack of proper contraction of the uterus which again can be due to either a malposition of the fetus or due to cephalopelvic disproportion (CPD) .
The second stage of labour may be delayed due to:
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Once a diagnosis of delay in the second stage is made, the woman should be assessed for:
If the head is high up:
If, after 1 hour, there is no progress and the presenting part is still high up, caesarian section is done.
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