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Abnormalities in the first stage of labor, before full dilation and pushing, should put the health care provider on notice of possible problems. On average, the first stage of labor is 26 minutes longer in women who use an epidural, and the second, pushing stage is is minutes longer. Intrapartum events assessed include antenatal transfer to a tertiary hospital, presentation at delivery, onset of labor (spontaneous or induced), type of analgesia, location of delivery (labor and delivery or the attached family birthing center), length of the first stage of labor (latent labor >20 hours in nulliparous patients and >14 hours in parous women, dilation of <1. |
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