Abstract

Prolonged second stage of labour is inability of a woman to proceed with childbirth after the fully dilatation of cervix. Prolonged second stage rate is 7.17%. Significant number of postpartum haemorrhage (36%) and NICU admission (22%). Prolonged second stage was associated with highly successful vaginal delivery rates (84% vs 72.17%), but with increased maternal and neonatal morbidity, if proceeded with spontaneous vaginal birth. Duration of second stage is not associated with obstetric anal sphincter injury. Prolonged second stage is not associated with persistent urinary incontinence. Benefits of increased vaginal delivery should be weighed against potential increases in maternal and neonatal risks with prolonged second stage. It is possible to observe prolonged duration of labour with normal vaginal deliveries in a considerable number. But if it is possible to achieve uncomplicated normal vaginal delivery, there will be a smaller number of maternal and neonatal complications. These findings further emphasize the importance of maintaining a close monitoring procedure.