Authors
Abstract
Background & Aim: 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.
Results: Rate intact perineum in spontaneous pushing group was higher than Valsalva pushing technique group (p
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