I’m in the US like Joan. ACOG (American College of Obstetricians and Gynecologists) specifically says:amyfalafal wrote:Never heard of that without interventions here in Australia in practice or in university. Evidently, it's different where you live.cheesecakes wrote:Actually for those giving birth for the first time, they will let you push for up to 3-4 hours. I pushed for 2.5 hours with my first baby - with every single contraction. I was exhausted. No way did they let her push like that for 11 hours. They would have intervened after 4 hours at the most.amyfalafal wrote:What a big load of bull shit pushing for 11 hours.
There's something seriously wrong if you're pushing more than 90 minutes. Reassess birthing interventions. Like Missy Lanning... As a midwife the story of her wanting a VBAC so badly that it was causing her unborn baby harm without anyone telling her to rush into emergency c-section is appalling. There is a time and place a medical professional needs to step in and do what's best for both patients involve.
How should abnormally progressing second-stage labor be managed?
Given the available literature, before diagnosing arrest of labor in the second stage and if the maternal and fetal conditions permit, at least 2 hours of pushing in multiparous women and at least 3 hours of pushing in nulliparous women should be allowed (Table 3). Longer durations may be appropriate on an individualized basis (eg, with the use of epidural analgesia or with fetal malposition) as long as progress is being documented (Table 3). For example, the recent Eunice Kennedy Shriver National Institute of Child Health and Human Development document suggested allowing one additional hour in the setting of an epidural, thus, at least 3 hours in multiparous women and 4 hours in nulliparous women be used to diagnose second-stage arrest, although that document did not clarify between pushing time or total second stage. https://www.acog.org/Clinical-Guidance- ... n-Delivery
