
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.