Cardinal movements of labor acog

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Intrapartum care in the first and third stage of normal labor is discussed separately: As in the first stage, creating a positive childbirth experience is one of the goals of care in the second stage. Our approach is based upon findings from randomized trials when available, as well as our clinical experience, data from observational studies, and expert opinion.

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INTRODUCTION - This topic will present a paradigm for intrapartum management of the second stage of labor (ie, time from recognition of complete cervical dilation on vaginal examination to fetal expulsion).

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