Table 3.46, Main resource requirements for using 95th percentile thresholds as upper limits of duration of the second stage of labour - WHO recommendations: Intrapartum care for a positive childbirth experience

Resource	Description
Training	▪ Practice-based training for health care providers
Supplies	▪ Revised training manuals and clinical protocols for health care providers and those in preservice training ▪ Educational materials for women on what comprises “normal” labour in terms of the duration of the second stage and when birth should be expected ▪ Revised paper partograph to include second stage
Infrastructure	▪ Sufficient beds in the labour ward to support women whose second stage might be slower than the average for their population
Supervision and monitoring	▪ Ongoing supervision and monitoring with regular audit and review of outcomes related to extending the upper limits to diagnose prolonged second stage, when fetal and maternal conditions are reassuring

WHO recommendations: Intrapartum care for a positive childbirth experience.

Geneva: World Health Organization; 2018.

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Table 3.46Main resource requirements for using 95th percentile thresholds as upper limits of duration of the second stage of labour