Pushing in the second stage of labour: part 1.
The second stage of labour has traditionally been managed by the midwife, directing women how and when to push. This usually involves women being instructed to use the Valsalva manoeuvre within prescribed time limits in supine or lithotomy positions. The rationale is that the duration of second stag...
| Publicado en: | British Journal of Midwifery Vol. 12; no. 8; pp. 502 - 509 |
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| Autor principal: | |
| Formato: | pictorial Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Aug2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106560551&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106560551 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09694900 GHC jtl: British Journal of Midwifery issn: 09694900 maglogo: N pubinfo: dt: Aug2004 vid: 12 iid: 8 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 106560551 106560551 2005015766 10.12968/bjom.2004.12.8.15277 106560551 ppf: 502 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Pushing in the second stage of labour: part 1. aug: au: Chalk A affil: Resuscitation Officer and Midwife, Victoria Hospital, Blackpool, Fylde and Wyre Hospitals NHS Trust sug: subj: Labor Stage, Second Pushing (Childbirth) Birthing Positions Female Fetus Midwifery Pregnancy Pushing (Childbirth) Methods Fetus, conception to birth Female ab: The second stage of labour has traditionally been managed by the midwife, directing women how and when to push. This usually involves women being instructed to use the Valsalva manoeuvre within prescribed time limits in supine or lithotomy positions. The rationale is that the duration of second stage of labour is reduced and therefore the risks of adverse effects to mother and fetus minimised. However, there is accumulating evidence that directed pushing within arbitrary time limits in supine positions is disadvantageous to the woman and fetus and is actually unjustified. Spontaneous pushing, which allows the woman to follow her own instincts and push in the second stage of labour, does not put the women or the fetus at risk of adverse effects. On the contrary, it offers clear benefits to both. Furthermore, the woman should be allowed to adopt positions that are most comfortable for her, yet encourage fetal rotation and descent through the maternal pelvis. The positions adopted can be variable, as long as labour is progressing, although upright positions are advocated during the second stage of labour compared to supine positions, which are not recommended. pubtype: Academic Journal doctype: pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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