According to WHO guidelines, which of the following is true about management of second stage of labor?
Ans. is a, i.e. Manual support of perineum to maintain continuous deflexion of headFriends WHO does not recommend universal episiotomy for second stage of labor but it recommends giving support to the perineum (Ritgen maneuver) while delivering the head of the fetus."Conduct the delivery with support for the perineum to avoid tears, and use of episiotomy only where a tear is very likely." WHO guideline.Also know- Ritgen maneuverRitgen maneuver is an obstetric procedure used to control delivery of the fetal head. It involves applying upward pressure from the coccygeal region to extend the head during actual delivery, thereby protecting the musculature of the perineum. In Ritgen maneuver the fetal chin is reached for between the anus and coccyx and pulled interiorly, while using the fingers of the other hand on the fetal occiput to control speed of delivery. The Ritgen maneuver is called modified (Jonsson 2008) when performed during a contraction, rather than between contractions as originally recommended.
Manual support of perineum to maintain continuous deflexion of head
Episiotomy should be performed as a routine
A warm cloth should be applied to the perineum to prevent trauma
Delivery should be ideally performed in a lithotomy position
Normal Labour