Spontaneous pushing in lateral position versus valsalva maneuver during second stage of labor on maternal and fetal outcomes : a randomized clinical trial
المؤلفون المشاركون
Vaziri, Faridah
Arzhe, Amene
Asadi, Nisrin
Pourahmad, Saidah
Moshfeghy, Zaynab
المصدر
Iranian Red Crescent Medical Journal
العدد
المجلد 18، العدد 10 (31 أكتوبر/تشرين الأول 2016)، ص ص. 1-9، 9ص.
الناشر
تاريخ النشر
2016-10-31
دولة النشر
الإمارات العربية المتحدة
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background : There are concerns about the harmful effects of the Valsalva maneuver during the second stage of labor.
Objectives : Comparing the effects of spontaneous pushing in the lateral position with the Valsalva maneuver during the second stage of labor on maternal and fetal outcomes.
Methods : Inclusion criteria in this randomized clinical trial conducted in Iran were as follows: nulliparous mothers, live fetus with vertex presentation, gestational age of 37 - 40 weeks, spontaneous labor, and no complications.
The intervention group pushed spontaneously while they were in the lateral position, whereas the control group pushed using Valsalva method while in the supine position at the onset of the second stage of labor.
Maternal outcomes such as pain and fatigue severity and fetal outcomes such as pH and pO2 of the umbilical cord blood were measured.
Results : Data pertaining to 69 patients, divided into the intervention group (35 subjects) and control group (34 subjects), were analyzed statistically.
The mean pain (7.80_1.21 versus 9.05_1.11) and fatigue scores (46.59_21 versus 123.36_43.20) of the two groups showed a statistically significant difference (P < 0.001).
Moreover, the mean duration of the second stage in the intervention group was significantly higher than that in the control group (76.32 _ 8.26 minutes versus 64.56 _ 15.24 minutes, P = 0.001).
The umbilical cord blood pO2 levels of both groups showed a statistically significant difference (28.29 _ 11.76 versus 18.83 _ 9.86, P < 0.001), whereas their pH levels were not significantly different (P = 0.10).
Conclusions : Spontaneous pushing in the lateral position reduced fatigue and pain severity of the mothers.
Also, it did not worsen fetal outcomes.
Thus, it can be used as an alternative method for the Valsalva maneuver.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Vaziri, Faridah& Arzhe, Amene& Asadi, Nisrin& Pourahmad, Saidah& Moshfeghy, Zaynab. 2016. 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،Vol. 18, no. 10, pp.1-9.
https://search.emarefa.net/detail/BIM-724403
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Vaziri, Faridah…[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 Vol. 18, no. 10 (Oct. 2016), pp.1-9.
https://search.emarefa.net/detail/BIM-724403
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Vaziri, Faridah& Arzhe, Amene& Asadi, Nisrin& Pourahmad, Saidah& Moshfeghy, Zaynab. 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. 2016. Vol. 18, no. 10, pp.1-9.
https://search.emarefa.net/detail/BIM-724403
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 8-9
رقم السجل
BIM-724403
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر