Researchers have found that after a 3 - hour or more second stage of labor, only one in four nulliparous women (27) and one in three multiparous women give birth spontaneously, whereas up to 30 — 50 % may
require operative delivery to give birth vaginally in the current second stage of labor threshold environment (30).
Just as a point of comparison, most OB / GYN residencies by contrast
require Drs to perform 250 - 300 spontaneous vaginal
deliveries as primaries, as well as 150 C - sections and 25 - 50
operative vaginal
deliveries by the time they are done with their residency.