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Optimizing the Second Stage of Labor: The Interplay of Parity, Fetal Position, and Epidural Analgesia on Spontaneous Delivery Success
Clinical UpdatesEpidural analgesiaOcciput posterior

Optimizing the Second Stage of Labor: The Interplay of Parity, Fetal Position, and Epidural Analgesia on Spontaneous Delivery Success

By MedXY|May 13, 2026

This review synthesizes contemporary evidence on the duration of active pushing, highlighting how epidural use, fetal malposition, and parity influence the probability of spontaneous delivery and maternal-neonatal outcomes.

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