{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T22:10:22Z","timestamp":1724796622153},"reference-count":72,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>This is a review of evidence-based management of vaginal birth, which is critical to optimizing the outcomes of birthing people and neonates. The current literature supports the use of immediate pushing in the second stage of labor, neuraxial anesthesia administration for vaginal birth for adequate pain control, use of warm compresses in labor to prevent obstetric lacerations, delayed cord clamping for term and preterm neonates, the utility of umbilical cord milking in neonates who require immediate resuscitation, and active management of the third stage of labor with oxytocin administration. In addition, the routine use of episiotomy is shown to increase morbidity without clear evidence of benefit in the setting of spontaneous vaginal delivery or operative vaginal delivery.<\/jats:p>","DOI":"10.1097\/og9.0000000000000024","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T00:33:19Z","timestamp":1722558799000},"page":"024","update-policy":"http:\/\/dx.doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["An Evidence-Based Approach to Vaginal Birth"],"prefix":"10.1097","volume":"1","author":[{"given":"Andrew M.","family":"Tannous","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Warffuel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann-Sophie","family":"Van Backle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iris","family":"Burgard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcella R.","family":"Israel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Hartley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jania A.","family":"Ramos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine","family":"Stickrath","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torri","family":"Metz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meredith J.","family":"Alston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2024,9]]},"reference":[{"key":"R2-20240827","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1001\/jama.2018.13986","article-title":"Effect of immediate vs delayed pushing on rates of spontaneous vaginal delivery among nulliparous women receiving neuraxial analgesia: a randomized clinical trial","volume":"320","author":"Cahill","year":"2018","journal-title":"JAMA"},{"key":"R3-20240827","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.ajog.2020.02.002","article-title":"Delayed versus immediate pushing in the second stage of labor in women with neuraxial analgesia: a systematic review and meta-analysis of randomized controlled trials","volume":"223","author":"Di Mascio","year":"2020","journal-title":"Am J Obstet Gynecol"},{"key":"R4-20240827","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1111\/j.1471-0528.2004.00282.x","article-title":"Delayed versus early pushing in women with epidural analgesia: a systematic review and meta-analysis","volume":"111","author":"Roberts","year":"2004","journal-title":"BJOG"},{"key":"R5-20240827","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/j.1552-6909.2007.00205.x","article-title":"A meta-analysis of passive descent versus immediate pushing in nulliparous women with epidural analgesia in the second stage of labor","volume":"37","author":"Brancato","year":"2008","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"R7-20240827","doi-asserted-by":"crossref","first-page":"e20","DOI":"10.1097\/AOG.0000000000001905","article-title":"Approaches to limit intervention during labor and birth. 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