Prolonged second stage in nulliparous with epidurals: a systematic review

Objective: Management of prolonged second stage of labor remains a clinical challenge. Nulliparous with epidurals are the most likely women to have a prolonged second stage and can be difficult to manage. The aim of this study was to evaluate the maternal and fetal morbidities associated with prolonged second stage of labor in nulliparous women with epidurals.Methods: A systematic review of the literature was performed using PubMed, Ovid and...