Second stage of labor arrest

When pregnancy stagnates in the second stage of labor, mothers will feel very painful and will have symptoms of severe pain. They must be guided to give birth correctly to prevent dystocia. They must also stimulate their pelvic cavity, which is more conducive to normal delivery. They must also observe uterine contractions. These conditions should be taken seriously and are indispensable.

During the second stage of labor, the doctor performs a vaginal examination to determine the fetal position and instructs the woman to hold her breath during each contraction so that the fetal head gradually descends through the pelvic cavity and gradually expands the vaginal opening. During uterine contractions, the midwife places her left palm on the fetal head to control the speed of its advancement. Bend the fingers of the right hand to protect the perineum and assist in the delivery of the fetus. The midwife's control over the speed of delivery of the fetal head is the key to a safe delivery.

After the fetal head is delivered, the fetal body rotates and the shoulders are located at the anterior-posterior diameter of the outlet. The fetal head is gently pressed and the anterior shoulders are delivered from under the pubic arch. The fetal head is slightly raised, the posterior shoulders are delivered from the perineum, and finally the fetal body is delivered one after another. The midwife will clear the newborn's respiratory tract, suck out the mucus and amniotic fluid from the mouth, nose, and pharynx, stimulate the soles of the newborn's feet, and then you will hear the baby's loud first cry. Then she will handle the umbilical cord and finally place the newborn in a warm crib or in the mother's arms, so you can see what the baby looks like.

1. Observe the labor process and fetal heart rate: During the second stage of labor, uterine contractions are more frequent and stronger, so pay special attention to changes in the fetal heart rate. Special attention should be paid to the relationship between fetal heart rate and uterine contractions. If the fetal heart rate slows down and does not recover or recovers slowly after uterine contractions, delivery should be ended as soon as possible.

2. Instruct the mother to push: After the cervix is ​​fully dilated, instruct the mother to hold her breath and push correctly to increase abdominal pressure and speed up the delivery process. The mother puts her feet on the delivery bed or leg rack and holds the armrests of the delivery bed with both hands. When the contraction occurs, the mother first takes a deep breath, then holds her breath to contract her abdominal muscles and diaphragm, pulls the armrests upward with both hands, and pushes her body downward as if having a bowel movement. After the contraction, the mother exhales and relaxes her whole body. When the contraction occurs again, repeat the above steps. When the fetal head is crowned. The mother should not be asked to push during uterine contractions to avoid the fetal head being delivered too quickly and causing perineal laceration. At this time, the mother should be instructed to open her mouth and exhale during contractions, and hold her breath and push hard during the intervals between contractions to slowly deliver the fetal head and shoulders.