The best method of cuailing the second stage of labour in hea disease is by

Seccond stage management in a Hea disease complicating Pregnancy Maternal pushing and the tendency to delay in the second stage of labour is to be cuailed by forceps or ventouse under pudendal /perineal block Ventouse is preferable to forceps as it can be applied without putting patient in lithotomy position IV ergometrine after the delivery should be withheld to prevent sudden overloading of the hea by additional blood squeezed out from the uterus Reference: D.C.Dutta&;s Textbook of Obstetrics; 7h edition; Page no: 278