Singleton

Internal medicine

Obstetrics

Surgery

Stage (stratigraphy)

Paleontology

Uterus

Pregnancy

Uterine rupture

Hysterectomy

Gynecology

Cesarean delivery

Gestation

Genetics

Medicine

Biology

American Journal of Obstetrics and Gynecology

A low rate of primary cesarean delivery is expected to reduce some of the major complications that are associated with a repeat cesarean delivery, such as uterine rupture, adhesive placental disorders, hysterectomy, and even maternal death. Since 2014, and in alignment with the American College of Obstetricians and Gynecologists and the Society for Maternal−Fetal Medicine, we changed our approach to labor dystocia, defined as abnormal progression of labor, by allowing a longer duration of the second stage of labor.

The impact of extending the second stage of labor to prevent primary cesarean delivery on maternal and neonatal outcomes