- Labor that lasts less than 3 hours with tetanic-like contractions and rapid delivery.
- Complications are uterine rupture, severe laceration of birth canal, hypotonic uterus after delivery with profuse bleeding, and fetal hypoxia.
- Nursing diagnosis are pain and risk for injury.
- Nursing implamentation: safe delivery of infant between contractions using Ritgen's maneuver; newborn care.