This experimental study aims to evaluate whether the application of obstetric lubricant gel during vaginal delivery can significantly reduce the duration of the second stage of labor, preserve perineal integrity, and decrease the need for episiotomies. The study hypothesis is that lubricant gel facilitates fetal passage through the birth canal by reducing friction, shortening the expulsion phase and reducing maternal-neonatal complications. Two groups will be included: with and without gel application. Follow-up will span from admission of the pregnant woman until immediate postpartum discharge.
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Duration of the Second Stage of Labor
Timeframe: During delivery, from complete cervical dilation until fetal expulsion (approximately 30-120 minutes)
Ricardo A Gutierrez-Ramirez, MD, MSc