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[Duration of the second stage and the condition of the neonate in midwife-managed deliveries].

The correlation between the duration of the second stage on the one hand, and arterial cord blood pH/neurological score on the other hand was calculated for 71 primi- and 77 multiparae. The pregnant women were selected during pregnancy as low risk cases and under care of midwives at the beginning of labour. The deliveries were attended by a midwife or, after referral during labour/delivery, by an obstetrician. It could not be established that a relatively long second stage substantially deteriorated the condition of the neonate. From the findings obtained it does not appear necessary to change the rules regarding maximal duration of second stage (currently two hours for primi- and one hour for multiparae).