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Re: prolonged 2nd stage

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 28 Nov 2001 10:18:04 -0600 (CST)


At Wed, 28 Nov 2001, Lisa wrote: >
>Can any of the drs advise what causes prolonged 2nd stage? An epidural was
>in place so I pushed on comand for 4 hours with no progress. Delivery was
>then performed with low forceps + episiotomy. What causes this and what can
>one do to prevent it happening (there was no fetal distress by the way).

Lisa, There are three issues that play into a prolonged second stage. These are the size of the baby, the size of your pelvis and the strength of the uterine contractions. Any one of these or a combination thereof can interplay in creating a prolonged second stage. You obviously can't change the size issue so the only thing one can impact is the intensity of the uterine contractions along with facilitating the delivery with forceps or vacuum... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)




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