Abstract

(Abstracted from J Matern Fetal Neonatal Med 2021;34:409–415) The management of prolonged second stage (PSS) of labor has been a topic of debate for many years. In nulliparous women, PSS had been defined as 3 hours of labor with epidural and 2 hours without, according to American College of Obstetricians and Gynecologists guidelines for many years.

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