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Spontaneous pushing in lateral position versus valsalva maneuver during second stage of labor on maternal and fetal outcomes : a randomized clinical trial
Joint Authors
Vaziri, Faridah
Arzhe, Amene
Asadi, Nisrin
Pourahmad, Saidah
Moshfeghy, Zaynab
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 18, Issue 10 (31 Oct. 2016), pp.1-9, 9 p.
Publisher
Publication Date
2016-10-31
Country of Publication
United Arab Emirates
No. of Pages
9
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 8-9
Record ID
BIM-724403