PUSHING TECHNIQUES IN THE 2ND STAGE OF LABOR

被引:41
作者
THOMSON, AM
机构
[1] Department of Nursing, University of Manchester, Manchester, Ml 3 9PT, Stopford Building, Oxford Road
关键词
D O I
10.1046/j.1365-2648.1993.18020171.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
It is routine to require women to 'take a deep breath in, hold it and push' in the second stage of labour, but there is no scientific evidence to support this practice. In a randomized controlled trial of spontaneous (n = 15) versus directed (n = 17) pushing in the second stage, no adverse effects of spontaneous pushing on the woman or baby were found. There was a negative correlation between the length of the second stage and the venous cord blood pH at delivery in the directed pushing group, suggesting that a long second stage was disadvantageous to the fetus when the woman was using a directed pushing technique. No such association was found in the spontaneous pushing group, despite the fact that the women in this group had a significantly longer mean second stage.
引用
收藏
页码:171 / 177
页数:7
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