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Second Stage Labor Management (1 hour Video)

Hours: 1.00

Best suited for: Obstetricians, family practice physicians, midwives, and obstetric nurse practitioners

Typical interventions used during the second stage of labor frequently impede oxygen delivery and increase risk to the patient, fetus, and practitioner. Underutilization of laboring down, open-glottis breathing and upright positions by physicians is evident nationwide. This activity outlines the benefits of these interventions and discusses new ACOG & SMFM guidelines, as well as current AWHONN and FIGO recommendations that support their use.

Original Release Date: July 24, 2015
Review Date: January 24, 2018
Expiration Date: July 24, 2018

Learning Objectives: Upon completion, participants should be able to
1) Differentiate evidence-based interventions that promote oxygen delivery and minimize oxygen consumption from interventions that do not.
2) Identify risks associated with a prolonged second stage.
3) Review & apply new ACOG and SMFM guidelines into clinical practice.

Learning Assessment: There will be a post test for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Estimated time to complete activity: 1 hour

Residents will earn a certificate of completion. Physicians will earn CME credit. 

CME Information - Read

Method and Medium: To obtain CME credit, complete a pretest, view the entire online presentation, complete the evaluation and post test and print your certificate online.

CME Credit: 1.0


MOC Approved: Through the American Board of Medical Specialties ("ABMS") and Association of American Colleges' ("AAMC") joint initiative to create a wide array of Maintenance of Certification ("MOC") Activities, 'Second Stage Labor Management' has met the MOC requirements as a Part II activity by the following ABMS Member Boards:

  • American Board of Family Medicine



State Requirements: Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:

Florida – This activity includes content on avoiding medical error
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

Disclosure Policy - Read

Disclosure: The authors, expert reviewers, editors, narrator, and planning committee members for this activity have no relevant financial relationships to disclose.

About the Author/Narrator: Carol A. Curran RNC, MS, OGNP - Read Bio

About the Expert Reviewer: Dr. Kenneth Brown - Read Bio

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management

Editor: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented by LAMMICO as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: This course contains some pictures that were reprinted with permission from McGraw-Hill Education. McGraw-Hill makes no representations or warranties as to the accuracy of any information contained in the McGraw-Hill material, including any warranties of merchantability or fitness for a particular purpose. In no event shall McGraw-Hill have any liability to any party for special, incidental, tort, or consequential damages arising out of or in connection with the McGraw-Hill material, even if McGraw-Hill has been advised of the possibility of such damages.

Copyright Information: Copyright © 2015

Bibliography: To view and download References & Resources for this presentation, please select the References tab/link below.

Member and Subscriber Access
Interested in a CME program like this for your team or facility? Contact us to schedule it and talk about pricing.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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