The second stage of labor is the time between the opening of the uterus and the delivery of the baby from the mother’s body. The maximum time should not exceed 3 hours for first-time mothers and 2 hours for mothers who have had a baby before. If epidural labor analgesia is administered during labor, the time can be extended by one hour each, up to four hours for first-time mothers and up to three hours for mothers who have had a baby before. The most common reasons for prolonged second stage of labor are weak contractions, disproportion between the baby’s head and the mother’s pelvis, and abnormal position of the baby’s head, such as posterior occipital, transverse occipital or even uneven tilt. The possibility of a prolonged second stage of labor requires an adequate assessment by the doctor, who can help the mother to deliver vaginally by strengthening contractions or rotating the fetal position with her hands accordingly, or assess that the mother may not be able to deliver vaginally and that a cesarean section is needed to terminate the pregnancy. In case of abnormal duration of the second stage of labor, it is important to be fully evaluated by the doctor before deciding on the subsequent treatment plan.