For multiparas, the second stage is typically:

• A. Longer than the first birth
• B. Shorter than the first birth
• C. The same as the first birth
• D. Much longer than the first birth

Answer: (B)

In women who have given birth before, the second stage is typically shorter because the birth canal and supporting tissues have already been stretched and accommodated from prior labor. This makes the tissues more compliant, and the uterus is experienced at coordinating expulsive efforts, so fetal descent and delivery occur more efficiently with pushing. The mother often has a stronger, more effective urge to bear down, and the head is usually better aligned in the pelvis, shortening the time to birth. Variability can occur with fetal size and position, maternal fatigue, or use of analgesia, but the common pattern is a shorter second stage compared with the first birth.