Optimal Management of the Second Stage of labor
Over four million pregnant women labor and give birth in the United States every year. The second stage of labor, defined as the interval from complete cervical dilation through delivery of the fetus, is the most physiologically demanding period of labor for both the mother and the fetus. Despite the huge impact labor management can have on the eventual mode of delivery, the optimal technique for managing maternal pushing during the second stage of labor remains unknown. OMSS will randomize women to immediate versus delayed pushing, both currently accepted techniques. This study includes women at full term delivering their first baby.
Dr. Sindhu Srinivas