H ESMAEILI; M KORDI; A MANSOURI; F NAZARI
Volume 14, Issue 1 , March and April 2007, , Pages 15-22
Abstract
Background and purpose: Attention to labor pain and its sedation are important parts of maternity care. Mother positioning seems to be effective in pain intensity and positions that women choose in order to become more comfortable are often those that tend to promote the baby's progress through the birth ...
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Background and purpose: Attention to labor pain and its sedation are important parts of maternity care. Mother positioning seems to be effective in pain intensity and positions that women choose in order to become more comfortable are often those that tend to promote the baby's progress through the birth canal.
Women often describe less pain when the fetus and pelvis are better aligned. This study investigated the effects of mother's selected positions on the intensity of several types of pain in the first stage of labor.
Methods and Materials: This is a clinical trial on 68 pregnant women with singleton fetus in vertex presentation, 38-42 weeks gestational age and normal labor progress at Zeinab hospital in Mashad in 2004-5. They were randomly allocated to selective positions group and routine positions group. Mothers in selective positions group changed position as they wished while mothers in routine positions group were cared in bed. Pain intensity of low back and abdomen were measured hourly by visual analog scale. Data were gathered by using forms of interview and observation, and visual analog scale and analyzed in SPSS using Student ttest, Chi-square, Mann-whitney and Fisher's exact test.
Results: Scores of total pain (average of low back pain and abdominal pain) and low back pain were significantly lower for the selective positions group than those for the routine positions group (p=0.007 and p
H ESMAEILI; A MANSOURI; F NAZARI; M KORDI
Volume 13, Issue 1 , March and April 2006, , Pages 19-26
Abstract
Background and Purpose: Left to their own choice, parturients will usually select positions they find most comfortable and will frequently change their positions over the course of labor. Maternal changing the positions will adjust fetus alignment to pass through the birth canal. Therefore, maternal ...
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Background and Purpose: Left to their own choice, parturients will usually select positions they find most comfortable and will frequently change their positions over the course of labor. Maternal changing the positions will adjust fetus alignment to pass through the birth canal. Therefore, maternal positioning choice will include those positions with maximum comfort and those which improve the descent of the fetus through birth canal and make the labor process progress normally. This study is therefore intended to study the effect of mother's selected positions on the duration of the active phase of the first stage of labor.
Methods and materials: This clinical trial was carried out in 1383-84 (2004-5) at the labor ward of the Hazrate Zeinab (S) hospital in Mashad, Iran. Subjects were 68 low risk pregnant women with gestational age of 38 to 42 weeks, who were randomly assigned into two groups: cases (selective positioning) and controls (routine positioning). In the selective positioning group, mothers changed their positions at wish while mothers in the routine positioning group were given bedside care. Observation and interview checklists were used for data collection, and Student t-test, Chi-square, Mann-Whitney U and Fisher's exact test were used for data analysis in SPSS.
Results: Mean duration of the active phase of the first stage of the labor was significantly lower for the selective positioning group (p= 0.002). Mean ± standard deviation were 156.75±66.48 and 207.25±61.04 minutes for the selective and routine positioning groups respectively.
Conclusion: The study indicated that the duration of the active phase of the first stage of the labor was lower in the selective positioning group. Therefore, selective positioning can be advised for parturients to decrease the duration of staying mothers in maternity wards.
N KHADEM; M KORDI; N BAGHDARI; MT SHAKERI
Volume 12, Issue 4 , January and February 2006, , Pages 20-27
Abstract
Background and purpose: Fetal movement count and non-stress test are simple and non-invasive techniques used as first steps in the assessment of the fetal well-being. The present study was conducted to determine the relationship between maternal count of fetal movements and non-stress test.
Methods ...
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Background and purpose: Fetal movement count and non-stress test are simple and non-invasive techniques used as first steps in the assessment of the fetal well-being. The present study was conducted to determine the relationship between maternal count of fetal movements and non-stress test.
Methods and materials: This descriptive correlational study was carried out at the Gynecology and Obstetrics ward of the Imamreza Hospital in Mashad, Iran. The sample included 410 non-stress tests and fetal movement counts (205 tests from each group) from 101 high risk mothers in their third trimester. Mothers recorded the fetal movements 30 minutes after breakfast. Active fetus was supposed to have at least 10 movements in 12 hours; otherwise, it was assumed to be inactive. Non-stress test was done at 9:00 pm every night. Biophysical profile was taken whenever the fetus came out to be inactive or non-reactive by either test; then, the results of either test were compared with biophysical profile.
Results: In 86.3% of the recordings, the fetuses were active. Non-stress tests were reactive in 78% and non-reactive in 19%. Reactive non-stress tests were observed in 88% of the active and 114.3% of the inactive fetuses. 85.7% of the inactive fetuses had non-reactive non-stress tests (p=0.0001). A significant relationship was found to exist between the results of maternal count of fetal movements and non-stress test (p=0.0001). Also, a significant relationship existed between the time required to feel 10 movements and non-stress test (p=0.0005). The sensitivity, specificity and the negative predictive value of the test of fetal movements count were 15%, 85% and 93% respectively; corresponding figures for the non-stress test were 93%, 76% and 98% respectively.
Conclusion: In many cases where maternal report was inactive fetus, the result of the non-stress test was reactive. However, the test of fetal movements count is of acceptable specificity and negative predictive value.