Format

Send to

Choose Destination
See comment in PubMed Commons below
J Obstet Gynecol Neonatal Nurs. 2010 Nov-Dec;39(6):635-44. doi: 10.1111/j.1552-6909.2010.01195.x.

Comparison of delayed versus immediate pushing during second stage of labor for nulliparous women with epidural anesthesia.

Author information

1
Labor & Delivery, Exempla Lutheran Medical Center, Wheat Ridge, CO 80033, USA. gillesbye@exempla.org

Abstract

OBJECTIVE:

To determine if the use of delayed pushing after the onset of the second stage of labor decreases the time of active pushing and decreases maternal fatigue.

DESIGN:

Randomized clinical trial.

SETTING:

Labor and delivery unit of a not-for-profit community hospital.

PATIENTS/PARTICIPANTS:

Convenience sample of nulliparous laboring women with epidural anesthesia.

INTERVENTIONS:

Immediate or delayed pushing (2 hours) during the second stage of labor at the time of complete cervical dilatation.

MAIN OUTCOME MEASURES:

The length of pushing, total length of the second stage, and maternal fatigue.

RESULTS:

A total of 77 women were studied (immediate pushing group=39; delayed pushing=38). The immediate pushing group averaged 94 (± 57) minutes in active pushing, while the delayed pushing group averaged 68 (± 46) minutes, a statistically significant difference (p=.04). No significant differences were found in fatigue scores between the immediate and delayed pushing groups (p>.05).

CONCLUSIONS:

We found that by delaying the onset of active pushing for 2 hours after the beginning of the second stage of labor, the time that nulliparous women with epidural anesthesia spent in active pushing was significantly decreased by 27%. Although the delayed pushing group rested for up to 2 hours, the total time in the second stage of labor averaged only 59 minutes longer than the immediate pushing group.

[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center