H5C - Effectiveness of a Nurse Driven Second Stage Labor Management Protocol to Decrease Obstetric Birth Trauma

The goal of the evidence based practice project at a Cincinnati, Ohio hospital was to improve the quality of care during second stage of labor. The presentation will describe the implementation and outcomes of an evidence based nurse driven second stage labor protocol to decrease obstetric birth trauma. Outcomes include a statically significant decrease in operative vaginal deliveries, 50% reduction in third and fourth degree lacerations, without extending the length of second stage of labor.