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Second stage, and the strip changes

33 yG3P2GA 39+4Labour

A multiparous patient pushing well, a tracing that was reassuring, and twenty minutes in which it stops being so.

  1. 14:00GA 39+4Step 1

    Pushing begins

    Fully dilated at 13:35, station plus 1, occiput anterior. Pushing with contractions every 2.5 minutes. Variable decelerations with shoulders, moderate variability, baseline 138.

    10 cm · 100% · station +1 · Ruptured, clear
    The strip at this step. Read it in the lab.

    Category and plan?