جستجوی مقالات مرتبط با کلیدواژه "زور زدن خودبخودی" در نشریات گروه "پزشکی"

In more than 75% of delivery nursing staff members encourage prolonged Valsalva-type pushing during the second stage of labor. The objective of the present study is to the assessment of effect Spontaneous Pushing in second stage of labor on maternal and fetus outcomes. Methods & Materials: In this quasi-experimental study was completed on 160 pregnant women in second stage of labor and average 18-35 years old. The participants were allocated in two groups spontaneous pushing (n=80) and Valsalva pushing technique (n=80). In group spontaneous pushing، used the spontaneous pushing method (open glottis pushing while breathing out) and in other group، used the Valsalva pushing technique (closed glottis pushing while holding their breath) during the second stage of labor. Duration stage of delivery، perineal tears، 1- and 5- minute APGAR score were evaluated in both group. Data were analyzed by SPSS. Rate intact perineum in spontaneous pushing group was higher than Valsalva pushing technique group (p<0. 001). Moreover، first-degree and second-degree tears were not significant difference between two group. Rate the need for episiotomy was less in spontaneous pushing group (%33. 8 versus %66. 2) (p<0. 001) that the group were significantly different. The baby fared better with spontaneous pushing، with higher 1 minute APGAR score. It seems that spontaneous pushing method during the second stage of labor is associated with less perineal trauma and improved newborn outcome.

The valsalva pushing technique is used routinely in the second stage of labor in many countries, and it is accepted as standard obstetric method in Iran. The purpose of this study was to determine the effects of spontaneous pushing, versus, valsalva pushing technique in birth on outcome of delivery in primiparas. This clinical trial study was conducted on 100 primiparas. Samples were randomized to either a spontaneous pushing group (open glottis pushing while breathing out) or a valsalva-type pushing group (closed glottis pushing while holding their breath). The length of stages of delivery, perineal tears, postpartum hemorrhage and satisfaction were evaluated in mothers and apgar scores at 1 and 5 minutes were evaluated in newborns. Data were analyzed using statistical Mann-Whitney, Chi-square and independent t-test. The duration of expulsion phase of the second stage of labor was significantly longer in valsalva-type pushing (P=0.004). The result indicated that the incidence of episiotomy in spontaneous pashing group (P=0.003) and postpartum hemorrhage in valsalva pushing group (P=0.002) was more. The baby fared better with spontaneous pushing, with higher 1- minute apgar score. After the birth, women expressed greater satisfaction with spontaneous pushing. Educating women for the spontaneous pushing technique in the first stage of labor and providing support for spontaneous pushing in the second stage result in a shorter second stage without interventions and in improved newborn outcomes.