Management of Second Stage of Labour | Normal Labour | Nursing Lecture

How to Manage the 2nd stage of labour?
In this video, the management of the 2nd stage of labour is explained.

This stage begins with the full dilatation of the cervix and ends with the expulsion of the fetus.

Principle - Slow & Steadily assist the whole process, to prevent perineal injuries.

Preparation for Delivery-
Woman should be in bed.
Monitor FHR every 5 min.
PV examination to rule out cord prolapse, the descent of head, and dilatation of the cervix.
Catheterize the mother.
Position the mother, commonly Lithotomy, Dorsal with 15 degrees left lateral tilt.

Phases of the Delivery
Delivery of Head
Delivery of the Shoulders
Delivery of the Trunk

Maintain flexion in the head by Ritgen's maneuver to release the suboccipitofrontal diameter through the introitus.
On crowning with thin buldge perineum perform the episiotomy.
Clamp & cut the cord 6-8 c.m. away from the abdominal wall and leaving 3-4 c.m. of cord from the abdominal wall.
Ligate the cord by maintaining the aseptic technique.
Check APGAR at 1 or 5 min of birth.

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