Araştırma Makalesi
BibTex RIS Kaynak Göster

THE EFFECT OF PUSHING TECHNIQUES ON DURATION OF THE SECOND LABOR STAGE, MOTHER AND FETUS: A RANDOMIZED CONTROLLED TRIAL

Yıl 2018, Cilt: 3 Sayı: 3, 123 - 134, 26.12.2018

Fatma Başar , Seher Şeyma Hürata

https://doi.org/10.23884/ijhsrp.2018.3.3.04
Cited By: 3

Öz

This
study evaluated the effects of pushing techniques on the second stage of labor
duration and maternal and fetal outcomes. The pregnant women were divided
randomly into Valsalva pushing (n =20) or spontaneous pushing (n =20) groups. The experimental group
received spontaneous pushing training in the latent phase. Interventions during
labor as well as maternal and fetal complications and the duration of the
second stage of labor were recorded. There was a significant difference in
fetal Apgar scores and the duration of second labor stage between the two
groups (p<0.005). Fetal distress, oxygen use, increase in oxytocin,
operative intervention, perineal laceration, and postpartum hemorrhage were
seen less in the spontaneous pushing group. However, no statistical difference
was found between the groups (p>0.05). Spontaneous pushing is effective in shorter
second stages of labor and higher Apgar scores. It 
should be included in maternal hospital protocols.

Anahtar Kelimeler

: pushing techniques labor second stage duration maternal outcomes fetal outcomes

Kaynakça

  • [1] Cooke, A., ‘‘When will we change practice and stop directing pushing in labour?’’, British Journal of Midwifery, 18 (2), 2010. 76. doi:10.12968/bjom.2010.18.2.46403.
  • [2] Genç Koyuncu, R., Demirci, N., ‘‘Effects of pushing techniques during the second stage of labor: A randomized controlled trial’’, Taiwanese Journal of Obstetrics and Gynecology. 56 (5), 606-612, 2017.
  • [3]Yildirim, G., Kızılkaya Beji, N., ‘’Effects of pushing techniques in birth on mother and fetus: a randomized study’’, Birth, 35 (1), 25-30, 2008.
  • [4] Roberts, JE., ‘‘The push for evidence: management of the second stage’’, Journal of Midwifery and Womens Health, 47, 2–15,2002.
  • [5] Lemos, A. et al., ‘‘Pushing/bearing down methods for the second stage of labour’’, The Cochrane Library, 10, 2015. doi:10.1002/14651858.CD009124.pub2.
  • [6] Schaffer, JI. et al., ‘‘A randomized trial of the effects of coached vs uncoached maternal pushing during the second stage of labor on postpartum pelvic floor structure and function’’, American Journal of Obstetrics & Gynecology, 192 (5), 1692-1696, 2015. doi:10.1016/j.ajog.2004.11.043.
  • [7] Yıldırım, G., ‘‘Doğum eyleminde uygulanan ıkınma teknikleri ve hemşirelik yaklaşımları’’, C.Ü. Hemşirelik Yüksekokulu Dergisi, 10 (2),49-56, 2006.
  • [8] Berghella, V. et al., ‘‘Evidence-based labor and delivery management’’, American Journal of Obstetrics & Gynecology, 199 (5), 445-454, 2008.
  • [9] Hofmeyr, GJ., ‘‘Evidence-based intrapartum care’’, Best Practice & Research Clinical Obstetrics and Gynaecology, 19 (1),103–115, 2005.
  • [10] Tayrac, DR., Letouzey, V.,‘‘Methods of pushing during vaginal delivery and pelvic floor and perineal outcomes: a review’’, Current Opinion in Obstetrics and Gynecology, 28 (6),470-476, 2016.
  • [11] Vaziri, F. et al., ‘‘Spontaneous pushing in lateral position versus valsalva maneuver during second stage of labor on maternal and fetal outcomes: A randomized clinical trial’’, Iranian Red Crescent Medical Journal, 18 (10), e29279,1-9, 2016. doi: 10.5812/ircmj.29279.
  • [12] Prins, M. et al., ‘‘Effect of spontaneous pushing versus Valsalva pushing in the second stage of labour on mother and fetus: a systematic review of randomised trials’’, BJOG: An International Journal of Obstetrics & Gynaecology, 118 (6) , 662-670, 2011. doi:10.1111/j.1471-0528.2011.02910.x.
  • [13] Minato, JF., ‘‘Is it time to push? Examining rest in secondstage labor’’, AWHONN Lifelines, 4 (6), 20-23, 2000.
  • [14] Hanson, L., ‘‘Second-stage labor care. Challenges in spontaneous bearing down’’, Journal of Perinatal & Neonatal Nursing, 23 (1), 31-39, 2009.
  • [15] Koyuncu, RG., Demirci, N., ‘‘Doğumun ikinci evresinde kullanılan ıkınma tipleri: literatür gözden geçirme çalışması’’, G.O.P. Taksim E.A.H. JAREN, 2 (1),33-39, 2016.
  • [16] Bloom, SL. et al., ‘‘A randomized trial of coached versus uncoached maternal pushing during the second stage of labor’’, American Journal of Obstetrics & Gynecology, 194 (1), 10-13, 2006. doi:10.1016/j.ajog.2005.06.022.
  • [17] Jahdi, F. et al., ‘‘A randomized controlled trial comparing the physiological and directed pushing on the duration of the second stage of labor, the mode of delivery and Apgar score’’, International Journal of Nursing and Midwifery, 3 (5), 55-59, 2011.
  • [18] Mohamed, AI. et al., ‘‘Spontaneous versus valsalva pushing techniques at the second stage of labor among primipara women on labor outcomes’’, Journal of Nursing and Health Science, 4 (4), 82-88, 2015. doi:10.9790/1959-04478288.
  • [19] Barasinski, C. et al., ‘‘Do maternal pushing techniques during labour affect obstetric or neonatal outcomes’’?, Gynécologie Obstétrique & Fertilité, 44 (10), 2016. doi:10.1016/j.gyobfe.2016.07.004.
  • [20] Hollins Martin, CJ., ‘‘Effects of valsalva manoeuvre on maternal and fetal wellbeing’’, British Journal of Midwifery, 17(5), 279-285,2009.

Yıl 2018, Cilt: 3 Sayı: 3, 123 - 134, 26.12.2018

Fatma Başar , Seher Şeyma Hürata

https://doi.org/10.23884/ijhsrp.2018.3.3.04
Cited By: 3

Öz

Kaynakça

  • [1] Cooke, A., ‘‘When will we change practice and stop directing pushing in labour?’’, British Journal of Midwifery, 18 (2), 2010. 76. doi:10.12968/bjom.2010.18.2.46403.
  • [2] Genç Koyuncu, R., Demirci, N., ‘‘Effects of pushing techniques during the second stage of labor: A randomized controlled trial’’, Taiwanese Journal of Obstetrics and Gynecology. 56 (5), 606-612, 2017.
  • [3]Yildirim, G., Kızılkaya Beji, N., ‘’Effects of pushing techniques in birth on mother and fetus: a randomized study’’, Birth, 35 (1), 25-30, 2008.
  • [4] Roberts, JE., ‘‘The push for evidence: management of the second stage’’, Journal of Midwifery and Womens Health, 47, 2–15,2002.
  • [5] Lemos, A. et al., ‘‘Pushing/bearing down methods for the second stage of labour’’, The Cochrane Library, 10, 2015. doi:10.1002/14651858.CD009124.pub2.
  • [6] Schaffer, JI. et al., ‘‘A randomized trial of the effects of coached vs uncoached maternal pushing during the second stage of labor on postpartum pelvic floor structure and function’’, American Journal of Obstetrics & Gynecology, 192 (5), 1692-1696, 2015. doi:10.1016/j.ajog.2004.11.043.
  • [7] Yıldırım, G., ‘‘Doğum eyleminde uygulanan ıkınma teknikleri ve hemşirelik yaklaşımları’’, C.Ü. Hemşirelik Yüksekokulu Dergisi, 10 (2),49-56, 2006.
  • [8] Berghella, V. et al., ‘‘Evidence-based labor and delivery management’’, American Journal of Obstetrics & Gynecology, 199 (5), 445-454, 2008.
  • [9] Hofmeyr, GJ., ‘‘Evidence-based intrapartum care’’, Best Practice & Research Clinical Obstetrics and Gynaecology, 19 (1),103–115, 2005.
  • [10] Tayrac, DR., Letouzey, V.,‘‘Methods of pushing during vaginal delivery and pelvic floor and perineal outcomes: a review’’, Current Opinion in Obstetrics and Gynecology, 28 (6),470-476, 2016.
  • [11] Vaziri, F. et al., ‘‘Spontaneous pushing in lateral position versus valsalva maneuver during second stage of labor on maternal and fetal outcomes: A randomized clinical trial’’, Iranian Red Crescent Medical Journal, 18 (10), e29279,1-9, 2016. doi: 10.5812/ircmj.29279.
  • [12] Prins, M. et al., ‘‘Effect of spontaneous pushing versus Valsalva pushing in the second stage of labour on mother and fetus: a systematic review of randomised trials’’, BJOG: An International Journal of Obstetrics & Gynaecology, 118 (6) , 662-670, 2011. doi:10.1111/j.1471-0528.2011.02910.x.
  • [13] Minato, JF., ‘‘Is it time to push? Examining rest in secondstage labor’’, AWHONN Lifelines, 4 (6), 20-23, 2000.
  • [14] Hanson, L., ‘‘Second-stage labor care. Challenges in spontaneous bearing down’’, Journal of Perinatal & Neonatal Nursing, 23 (1), 31-39, 2009.
  • [15] Koyuncu, RG., Demirci, N., ‘‘Doğumun ikinci evresinde kullanılan ıkınma tipleri: literatür gözden geçirme çalışması’’, G.O.P. Taksim E.A.H. JAREN, 2 (1),33-39, 2016.
  • [16] Bloom, SL. et al., ‘‘A randomized trial of coached versus uncoached maternal pushing during the second stage of labor’’, American Journal of Obstetrics & Gynecology, 194 (1), 10-13, 2006. doi:10.1016/j.ajog.2005.06.022.
  • [17] Jahdi, F. et al., ‘‘A randomized controlled trial comparing the physiological and directed pushing on the duration of the second stage of labor, the mode of delivery and Apgar score’’, International Journal of Nursing and Midwifery, 3 (5), 55-59, 2011.
  • [18] Mohamed, AI. et al., ‘‘Spontaneous versus valsalva pushing techniques at the second stage of labor among primipara women on labor outcomes’’, Journal of Nursing and Health Science, 4 (4), 82-88, 2015. doi:10.9790/1959-04478288.
  • [19] Barasinski, C. et al., ‘‘Do maternal pushing techniques during labour affect obstetric or neonatal outcomes’’?, Gynécologie Obstétrique & Fertilité, 44 (10), 2016. doi:10.1016/j.gyobfe.2016.07.004.
  • [20] Hollins Martin, CJ., ‘‘Effects of valsalva manoeuvre on maternal and fetal wellbeing’’, British Journal of Midwifery, 17(5), 279-285,2009.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Article
Yazarlar

Fatma Başar 0000-0003-4288-9111

Seher Şeyma Hürata 0000-0002-7008-4743

Yayımlanma Tarihi 26 Aralık 2018
Gönderilme Tarihi 29 Kasım 2018
Kabul Tarihi 18 Aralık 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 3 Sayı: 3

Kaynak Göster

IEEE F. Başar ve S. Ş. Hürata, “THE EFFECT OF PUSHING TECHNIQUES ON DURATION OF THE SECOND LABOR STAGE, MOTHER AND FETUS: A RANDOMIZED CONTROLLED TRIAL”, IJHSRP, c. 3, sy. 3, ss. 123–134, 2018, doi: 10.23884/ijhsrp.2018.3.3.04.

Cited By

Bilateral Purtscher-like retinopathy: A case report in a patient with pre-eclampsia and post intrauterine fetal demise
International Journal of Surgery Case Reports
https://doi.org/10.1016/j.ijscr.2023.109072
Postpartum urinary incontinence and birth outcomes as a result of the pushing technique: a systematic review and meta-analysis
International Urogynecology Journal
https://doi.org/10.1007/s00192-021-05058-5
The Effects of Delayed Pushing During the Second Stage of Labor on Postpartum Fatigue and Labor Results
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi
https://doi.org/10.46237/amusbfd.936289

320px-DOAJ_logo-black-whitespace.svg.pngscholar_logo_64dp.png  crossref-logo-landscape-200.png  logo-minik.png  CenterLogo.png  SciLit logo ile ilgili görsel sonucu  icon.png?w=170&fakeurl=1Medical Reads 

  Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial -NoDerivatives 4.0 International License.