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Video Instruction for Pushing in the Second Stage: a randomized controlled trial.

Rebecca R Rimsza1, Marta Perez2, Candice Woolfolk1

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American Journal of Obstetrics and Gynecology
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Summary

An intrapartum video education tool did not shorten the second stage of labor. However, patients receiving the video reported increased comfort and better physician perception, suggesting it may improve the birth experience.

Keywords:
childbirth educationchildbirth satisfactionintrapartumlabor coachinglabor educationpatient satisfactionpushingsecond stagevideo

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Area of Science:

  • Obstetrics and Gynecology
  • Patient Education
  • Labor and Delivery

Background:

  • The second stage of labor requires active patient participation.
  • Previous coaching interventions suggest an influence on labor duration, but standardized education tools are lacking.
  • Patients often face barriers accessing childbirth education pre-delivery.

Purpose of the Study:

  • To investigate the impact of an intrapartum video education tool on the duration of the second stage of labor.
  • To assess secondary outcomes including birth satisfaction, mode of delivery, and maternal-neonatal outcomes.

Main Methods:

  • A randomized controlled trial involving nulliparous patients with singleton pregnancies.
  • Participants were randomized to view a 4-minute video on labor and pushing techniques or receive standard bedside coaching.
  • The primary outcome was the duration of the second stage of labor.

Main Results:

  • The second stage of labor duration was statistically similar between the video education group (61 minutes) and the standard care group (49 minutes) (P=.77).
  • No significant differences were observed in mode of delivery, postpartum hemorrhage, or neonatal outcomes.
  • Patients receiving video education reported significantly higher levels of comfort and more positive perceptions of physician attitude (P<.05).

Conclusions:

  • Intrapartum video education did not reduce the second stage of labor duration.
  • Video education may enhance the birth experience by improving patient comfort and perception of care providers.
  • This tool could be valuable for improving patient satisfaction during childbirth.