What happens during 2nd stage of labor?
In the second stage of labor, your cervix is fully dilated and ready for childbirth. This stage is the most work for you because your provider wants you to start pushing your baby out. This stage can be as short as 20 minutes or as long as a few hours. It may be longer for first-time moms or if you’ve had an epidural.
How often should OBS be done in labour?
1-32 How often should you monitor the blood pressure? Blood pressure should be monitored 6-hourly during the latent phase of labour, and 4-hourly during the active phase of labour.
How is second stage of labour conducted?
5.2 Help the mother and baby have a safe birth
- 1 Check the baby’s heart beat. The baby’s heartbeat is harder to hear in second stage because the heart is usually lower in the mother’s belly.
- 2 Support the mother’s pushing. Figure 5.6 Gently encourage the mother to push when she feels the urge.
- 3 Watch for warning signs.
How often do you do observations in labour?
This should happen every fifteen minutes during the first stage of labour increasing to once every five minutes or after each contraction for full one minute in the second stage of labour.
How long should second stage of labour take?
The second stage of labor, when you deliver the baby, lasts about two hours if it’s your first time and one hour otherwise. The third, and final stage, when you deliver the placenta, is relatively quick lasting between 15 minutes to an hour.
What are the two phases of second stage of labour?
There are two phases of the second stage of labor, the passive stage and the active stage.
How do I prepare for second stage of labour?
Things you can do in the second stage:
- concentrate on your contractions and rest in between.
- try to let go and allow your body to do what it needs to do.
- try different positions – sitting, standing or walking.
- if you feel hot, a cold face washer can be very soothing.
How long is second stage of passive labour?
A passive second stage was allowed for 2 hours. The fetal heart was auscultated every 15 minutes in the second stage. One hour after being fully dilated, the fetal heart rate could not be heard; however, help was not summoned for more than 20 minutes.
What is passive second stage of labour?
Second stage of labor is defined as duration from fully dilated cervix until delivery of the infant. It includes the passive phase, with passive descent of the fetal head, and the active phase, also known as expulsive phase, bearing down or pushing.
What is the second stage of labor called?
The second stage of labor begins when the cervix is completely opened and ends with the delivery of the baby. The second stage is often referred to as the “pushing” stage. During the second stage, the woman becomes actively involved by pushing the baby through the birth canal to the outside world.
How long is stage 2 labor?
The second stage can last from 20 minutes to 2 hours. Contractions will last about 45-90 seconds at intervals of 3-5 minutes of rest in between. You will have a strong natural urge to push. You will feel strong pressure at your rectum.
What is the second stage of Labour?
Second stage of labour: what is it? The second stage of labour starts when your cervix is open (dilated) 10cm and ends when your baby is born. “Not all women feel the urge to push straight away in the second stage so it’s divided into passive and active stages (NICE, 2017) .”
What is the woman’s position and pushing in the second stage?
The woman’s position and pushing in the second stage 1.13.9 Discourage the woman from lying supine or semi‑supine in the second stage of labour and encourage her to adopt any other position that she finds most comfortable. [2007] 1.13.10 Inform the woman that in the second stage she should be guided by her own urge to push.
What should be included in the assessment of second stage delivery?
[2007] Assess progress, which should include the woman’s behaviour, the effectiveness of pushing and the baby’s wellbeing, taking into account the baby’s position and station at the onset of the second stage. These factors will assist in deciding the timing of further vaginal examination and any need for transfer to obstetric led care.
What are the guidelines for support in established Labour?
1.7 Care in established labour Support in labour 1.7.1 Provide a woman in established labour with supportive one‑to‑one care. [2007] 1.7.2 Do not leave a woman in established labour on her own except for short periods or at the woman’s request. [2007]