<prompt> The best method of curtailing the second stage of labour in heart disease is by:Prophylactic forcepsProphylactic ventouseSpontaneous delivery with episiotomyCaesarean section  <response>: Management of heart disease patient in 2nd stage:No maternal pushing and the tendency to delay in the second stage of labor is to be curtailed by forceps or ventouse under pudendal andor perineal block anesthesia. Ventouse is preferable to forceps as it can be applied without putting the patient in lithotomy position raising the legs increases the cardiac load. 