Chapter

Normal labour: second stage

Edited by Janet Medforth, Susan Battersby, Maggie Evans, Beverley Marsh and Angela Walker

in Oxford Handbook of Midwifery

Second edition

Published on behalf of Oxford University Press

Published in print June 2011 | ISBN: 9780199584673
Published online September 2011 | e-ISBN: 9780191729867 | DOI: http://dx.doi.org/10.1093/med/9780199584673.003.0014

Series: Oxford Handbooks in Nursing

Normal labour: second stage

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Recognition of the second stage 266

Mechanism of labour 270

Principles of care in the second stage of labour 274

Care of the perineum 276

Performing an episiotomy 280

Female genital mutilation 282

Conduct of normal vaginal delivery 284

The sometimes difficult transition between the first and second stages of labour is usually an indicator of the changes and readjustments that are made physically and emotionally, in order for labour to continue successfully. Changes in the woman's behaviour and physical demeanour provide the midwife with visual and auditory clues, which are characteristic of the end of the first stage of labour and the onset of the second stage. During this time the stress hormones associated with labour are at their peak, suggesting a favourable physiological response to labour....

Chapter.  4888 words.  Illustrated.

Subjects: Midwifery ; Obstetrics

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