Title

First and Second Stage Labor Management

Authoring Organization

Publication Month/Year

December 15, 2023

Last Updated Month/Year

December 15, 2023

Document Type

Guideline

Country of Publication

US

Document Objectives

The purpose of this document is to define labor and labor arrest and provide recommendations for the management of dystocia in the first and second stage of labor and labor arrest. This Clinical Practice Guideline includes definitions of labor and labor arrest, along with recommendations for the management of dystocia in the first and second stages of labor and labor arrest. Recommendations are classified by strength and evidence quality. Ungraded Good Practice Points are included to provide guidance when a formal recommendation could not be made because of inadequate or nonexistent evidence.

Target Patient Population

Pregnant individuals in the first or second stage of labor

Target Provider Population

OBGYNs and allied providers caring for pregnant individuals in the 1st and 2nd stages of labor

Inclusion Criteria

Female, Adolescent, Adult

Health Care Settings

Ambulatory

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Management

Diseases/Conditions (MeSH)

D000078463 - Child Labor, D007747 - Labor Stage, First, D007748 - Labor Stage, Second

Keywords

labor management

Source Citation

First and Second Stage Labor Management: ACOG Clinical Practice Guideline No. 8. Obstetrics & Gynecology 143(1):p 144-162, January 2024. | DOI: 10.1097/AOG.0000000000005447