If she did indeed push for 13hrs you would be looking at having a stillborn baby as each time you push the blood supply to the baby is reduced. This generally does not cause a problem with pushing lengths of average length but I don't think any babies reserves would last that long. Also she would have a massive PPH due to exhausted uterine muscles that would not contract once the baby was born hence causing a massive bleed post birth. She could have being whats called involuntarily pushing before she was fully dilated which can happen and generally with a first baby this will lengthen the labour times. Involunatary pushing can occur if you feel the urge to push before your fully dilated and sometimes this can happen most of the way through labour. When this happens with a first mother due to pushing against a cervix which isn't fully opened it swells and make dilation and birth longer. Usually an epidural is given just to prevent the mother pushing against the cervix until its all gone (fully dilated). So it is possible she was pushing alot longer then the recommended time frame in the second stage if she was involuntarily pushing before the second stage. Either way she sounds like she had a horrific birth. I hope she is recovering now. With a 4th degree tear she might be looking at a C/S next time.
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