arrest of descent

arrest of descent

failure of the presenting fetal part to continue to descend during the second stage of labor despite uterine contractions and maternal effort (pushing).
References in periodicals archive ?
Taking into account "decision to incision" time, these waiting periods appear shorter than the American College of Obstetricians and Gynecologists guidelines, which define arrest of descent as greater than 3 hours in nulliparous women with epidural analgesia and greater than 2 hours in multiparous women with epidural analgesia, the investigators reported online ahead of print in the American Journal of Obstetrics and Gynecology (2010 [doi: 10.
He says that when performing a cesarean section for arrest of descent with a well-engaged fetal head and no one available to lend "a vaginal hand," after making the uterine incision but before placing your hand in the incision, first cup the fetal head outside over the lower uterine segment and lift to disengage the head, breaking the vacuum and making delivery much easier.