Clinical issues. Limits on second stage pushing and time.
The second stage of labour has provided debates concerning when maternal pushing efforts should begin and how long they should last for in order to safeguard maternal and fetal wellbeing. Spontaneous maternal pushing may begin before or following full cervical dilatation. Either way, midwives need t...
| Publicado en: | British Journal of Midwifery Vol. 12; no. 9; pp. 568 - 573 |
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| Autor principal: | |
| Formato: | tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Sep2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | The second stage of labour has provided debates concerning when maternal pushing efforts should begin and how long they should last for in order to safeguard maternal and fetal wellbeing. Spontaneous maternal pushing may begin before or following full cervical dilatation. Either way, midwives need to fully comprehend the boundary between the first and second stages of labour and respond to maternal cues for spontaneous pushing. Fixed time limits for the duration of the second stage of labour are frequently being discussed and have even been described as unnecessary. Providing maternal and fetal wellbeing is maintained, and until more conclusive evidence is available, midwives are encouraged to pay attention to the rate of progress of the second stage of labour and act on signs of maternal pushing rather than being preoccupied with time limits for the second stage of labour. This second article of a three-part series explores the issues of limits on pushing and time in the second stage of labour and critically analyses the evidence available. |
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