Spontaneous and active pushing in second stage labor and fetal outcome in primiparous women

BACKGROUND AND OBJECTIVE: Active pushing in second stage labor is acceptable, despite its complications for fetus and it has been noticed by midwifes and obstetricians. Recent studies have shown that spontaneous pushing decreases fetal acidosis. So, the objective of this study was to assess the effe...

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Autores principales:	R Asali, M Tafazoli, Z Abedian, H Esmaeili
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2006
Materias:	spontaneous pushing active pushing second stage labor fetal outcome Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7d774afe591e4ae5919c3f0b0469338e
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spelling	oai:doaj.org-article:7d774afe591e4ae5919c3f0b0469338e2021-11-10T09:12:42ZSpontaneous and active pushing in second stage labor and fetal outcome in primiparous women1561-41072251-7170https://doaj.org/article/7d774afe591e4ae5919c3f0b0469338e2006-04-01T00:00:00Zhttp://jbums.org/article-1-2558-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Active pushing in second stage labor is acceptable, despite its complications for fetus and it has been noticed by midwifes and obstetricians. Recent studies have shown that spontaneous pushing decreases fetal acidosis. So, the objective of this study was to assess the effect of spontaneous and active pushing in second stage labor on fetal outcome in primiparous women.METHODS: This clinical trial study was done on 108 primiparous women with uncomplicated labor that based on fliess table randomly assigned to spontaneous and active groups. In spontaneous group used her own urge to push and in active groups encouraged to take a deep breath, hold it and push for ten numbers. After delivery, cord arterial blood PH value and Apgar score (1min & 5min) were measured.FINDINGS: The results of this study showed that arterial cord PH was higher in the spontaneous pushing versus active pushing (p<0.001). Apgar score (1min & 5min) had no significant difference between two groups. There was significant correlation between Apgar score (1min & 5min) and arterial umbilical PH (p=0.028, p=0.019).CONCLUSION: Spontaneous pushing decreases fetal acidosis so it can be effective, healthy, and cheap method for improving neonatal outcome.R AsaliM TafazoliZ AbedianH EsmaeiliBabol University of Medical Sciencesarticlespontaneous pushingactive pushingsecond stage laborfetal outcomeMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 8, Iss 2, Pp 51-55 (2006)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	spontaneous pushing active pushing second stage labor fetal outcome Medicine R Medicine (General) R5-920
spellingShingle	spontaneous pushing active pushing second stage labor fetal outcome Medicine R Medicine (General) R5-920 R Asali M Tafazoli Z Abedian H Esmaeili Spontaneous and active pushing in second stage labor and fetal outcome in primiparous women
description	BACKGROUND AND OBJECTIVE: Active pushing in second stage labor is acceptable, despite its complications for fetus and it has been noticed by midwifes and obstetricians. Recent studies have shown that spontaneous pushing decreases fetal acidosis. So, the objective of this study was to assess the effect of spontaneous and active pushing in second stage labor on fetal outcome in primiparous women.METHODS: This clinical trial study was done on 108 primiparous women with uncomplicated labor that based on fliess table randomly assigned to spontaneous and active groups. In spontaneous group used her own urge to push and in active groups encouraged to take a deep breath, hold it and push for ten numbers. After delivery, cord arterial blood PH value and Apgar score (1min & 5min) were measured.FINDINGS: The results of this study showed that arterial cord PH was higher in the spontaneous pushing versus active pushing (p<0.001). Apgar score (1min & 5min) had no significant difference between two groups. There was significant correlation between Apgar score (1min & 5min) and arterial umbilical PH (p=0.028, p=0.019).CONCLUSION: Spontaneous pushing decreases fetal acidosis so it can be effective, healthy, and cheap method for improving neonatal outcome.
format	article
author	R Asali M Tafazoli Z Abedian H Esmaeili
author_facet	R Asali M Tafazoli Z Abedian H Esmaeili
author_sort	R Asali
title	Spontaneous and active pushing in second stage labor and fetal outcome in primiparous women
title_short	Spontaneous and active pushing in second stage labor and fetal outcome in primiparous women
title_full	Spontaneous and active pushing in second stage labor and fetal outcome in primiparous women
title_fullStr	Spontaneous and active pushing in second stage labor and fetal outcome in primiparous women
title_full_unstemmed	Spontaneous and active pushing in second stage labor and fetal outcome in primiparous women
title_sort	spontaneous and active pushing in second stage labor and fetal outcome in primiparous women
publisher	Babol University of Medical Sciences
publishDate	2006
url	https://doaj.org/article/7d774afe591e4ae5919c3f0b0469338e
work_keys_str_mv	AT rasali spontaneousandactivepushinginsecondstagelaborandfetaloutcomeinprimiparouswomen AT mtafazoli spontaneousandactivepushinginsecondstagelaborandfetaloutcomeinprimiparouswomen AT zabedian spontaneousandactivepushinginsecondstagelaborandfetaloutcomeinprimiparouswomen AT hesmaeili spontaneousandactivepushinginsecondstagelaborandfetaloutcomeinprimiparouswomen
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Spontaneous and active pushing in second stage labor and fetal outcome in primiparous women

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