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

Year 2018, Volume: 3 Issue: 3, 123 - 134, 26.12.2018

Fatma Başar Seher Şeyma Hürata

https://doi.org/10.23884/ijhsrp.2018.3.3.04

Cited By: 3

Abstract

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.

Keywords

: pushing techniques, labor second stage duration, maternal outcomes, fetal outcomes

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