Abstract

Standard obstetric practice encourages the baby out at the beginning of the second stage of labor, the time from complete cervical dilation to delivery. In women who receive epidural analgesia, cesarean section is usually performed if delivery does not ensue within 2 hours of pushing in multiparous women and within 3 hours in primiparous women. In this randomized trial of 252 women who received epidural analgesia, …

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