Randomized Controlled Trial of Prolonged Second Stage: Extending the Time Limit Versus Usual Guidelines EDITORIAL COMMENT

摘要

Since the 1960s, guidelines for the management of the second stage of labor, which were created largely by expert opinion and small amounts of data, have been adopted. However, current retrospective data are mixed regarding differences in maternal and neonatal outcomes with a prolonged second stage. There are no randomized controlled trials that have evaluated whether extending the second stage of labor beyond current American College of Obstetricians and Gynecologists (ACOG) recommendations is beneficial. The aim of this study was to evaluate whether extending the time limit of second stage of labor beyond current ACOG guidelines would affect the incidence of cesarean delivery (CD). Maternal and perinatal outcomes were also assessed.