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Re: Second stage From: Efrain Ramirez (eramirezt@coqui.net) Wed Sep 13 19:43:10 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: epidural and food" Previous message: Efrain Ramirez: "Re: OB: GBS and advanced dilatation" In reply to: Andrew Folley: "Re: Second stage" Next in thread: Henry Gregor: "Re: Second stage" Reply: Henry Gregor: "Re: Second stage" My point is management - I often see patients who are fully dilated and without any urge to push - I just wait till they have the urge to bear down - that may last one hour - even then if the presenting part is still at 0 I don't encourage coached pushing - descent occurs a bit slower but they do not become tired and there are some papers out there suggesting less perineal trauma, less abnormal tracings - Ef > Wed, 13 Sep 2006, Andrew Folley wrote: > >I did not realize that there was any question as to what defined second >stage of labor. >Complete cervical dilation until delivery of infant. 3 hours for primips >with epidurals 2 hours without (providing effective pushing); 2 hours >for multips with epdirual and one hour without. andrew > >>From: "Jane Peterson" <ApricotRex@comcast.net> >>Reply-To: ob-gyn-l@obgyn.net >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >>Subject: RE: Second stage >>Date: Tue, 12 Sep 2006 22:18:18 -0500 >> >>I seldom see the 2 hour or even 100 minute second stage that is >>supposedly average. But I'm counting from spontaneous pushing, so maybe >>that's the difference. >> >>Jane >> >>-----Original Message----- >>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain >>Ramirez >>Sent: Tuesday, September 12, 2006 8:10 PM >>To: Multiple recipients of list OB-GYN-L >>Subject: Second stage >> >>My "second stages" in primgravids are becoming "shorter -- FD - is not >>the begining of the second stage - does anyone agree? >> >>Ef >> >>-- >>" The greatest obstacle to knowledge is not ignorance, >>it is the illusion of knowledge." Daniel J. Boorstin - Historian >> > -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Efrain Ramirez: "Re: epidural and food" Previous message: Efrain Ramirez: "Re: OB: GBS and advanced dilatation" In reply to: Andrew Folley: "Re: Second stage" Next in thread: Henry Gregor: "Re: Second stage" Reply: Henry Gregor: "Re: Second stage"

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