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It includes a series of recommendations based on best available evidence regarding length of second stage, judicious use of episiotomy, and the importance of competent attendants and adequate resource to facilitate all aspects of second stage management, from physiological birth to assisted vaginal delivery and cesarean at full dilatation. The second stage of labor is potentially the most dangerous time for the baby and can have significant consequences for the mother, including death or severe perineal trauma or fistula, especially where there are failures to recognize and repair. This paper sets out principles of care, including the vital role of skilled birth attendants and birth companions, and the importance of obstetricians and midwives working together effectively and speaking with one voice, whether to women or to policy makers. The optimization of high\u2010quality, safe, and personalized care in the second stage of labor for all women globally can only be achieved by appropriate attention to the training of birth attendants, midwives, and obstetricians. FIGO is committed to this aim alongside the WHO, ICM, and all FIGO\u2019s 132 member societies.<\/jats:p>","DOI":"10.1002\/ijgo.13552","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T14:48:25Z","timestamp":1608389305000},"page":"172-181","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["FIGO good clinical practice paper: management of the second stage of labor"],"prefix":"10.1002","volume":"152","author":[{"given":"Alison","family":"Wright","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal Free London Teaching Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anwar H.","family":"Nassar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology American University of Beirut Medical Center Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerry","family":"Visser","sequence":"additional","affiliation":[{"name":"Department of Obstetrics University Medical Center Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Ramasauskaite","sequence":"additional","affiliation":[{"name":"Center of Obstetrics and Gynaecology Vilnius University Faculty of Medicine Vilnius Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Theron","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Faculty of Medicine and Health Sciences Universiteit Stellenbosch Stellenbosch South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the FIGO Safe Motherhood and Newborn Health Committee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"e_1_2_20_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12544"},{"key":"e_1_2_20_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.08.002"},{"key":"e_1_2_20_4_1","unstructured":"WHO recommendation on definition and duration of the second stage of labour. 17 February 2018."},{"key":"e_1_2_20_5_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2002.810305.x"},{"key":"e_1_2_20_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0730-7659.2006.00085.x"},{"key":"e_1_2_20_7_1","unstructured":"Intrapartum care \u2010 An advanced\u2010midwife\u2019s guide to labour and delivery.https:\/\/www.glowm.com\/pdf\/2011\u2013Intrapartum\u2010Care\u2010Free\u2010Online\u2010Edition\u2010EBWHealthCare\u2010CC%20BY%20NC%20ND.pdf. 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