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Tall stature reduced the risk in nulliparous women, but height had no impact on multiparous women, whose risk of C-section is about the same as that of average-height women.
In nulliparous women, the diagnosis should be considered when the second stage of labor exceeds two hours without regional anesthesia and three hours if anesthesia was used.
The key finding was a significant reduction in the overall obstetric intervention rate, for otherwise healthy nulliparae would previously have received augmentation of labour.
Here, the duty midwife or clerk opened the next sequentially numbered, double packed, sealed envelope, taken from a box marked either nulliparous or multiparous.
Mothers with a history of breech delivery are just as likely as nulliparous patients to achieve vaginal delivery in subsequent pregnancies.
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