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Investigation into Deep Breathing through Measurement of Ventilatory Parameters and Observation of Breathing Patterns
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Regulated Expiratory Methods During Childbirth Process: A Randomized Controlled Trial.

Kaouther Dimassi1, Ahmed Halouani2, Farah Ben Zina2

  • 1Department of Obstetrics and Gynecology, University Hospital Mongi Slim La Marsa, Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia; Obstetrics and Gynecology Department, Robert Bisson Hospital, Lisieux, France.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|November 8, 2023
PubMed
Summary

A regulated expiratory method (REM) did not significantly reduce cesarean rates but shortened labor duration and improved the childbirth experience. Midwives reported positive impacts on breathing, pushing, and communication during labor.

Keywords:
birth experiencebreathing methodcesareanchildbirth processlabor painwomen empowering

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Labor and Delivery Management

Background:

  • Childbirth management strategies aim to optimize maternal and fetal outcomes.
  • Regulated expiratory methods (REM) are proposed to influence labor progression and maternal experience.
  • Evidence on the impact of REM on cesarean delivery rates and labor dynamics is limited.

Purpose of the Study:

  • To evaluate the impact of a regulated expiratory method (REM) on the childbirth process.
  • To assess REM's effect on cesarean delivery rates and labor duration.
  • To explore REM's influence on maternal childbirth experience and pain management.

Main Methods:

  • Randomized trial comparing REM intervention with standard care.
  • Inclusion criteria: first-time mothers, spontaneous labor onset, cephalic presentation.
  • Primary outcome: cesarean delivery rate; secondary outcomes: labor duration, birth types, pain scores, qualitative experience.

Main Results:

  • No significant difference in cesarean delivery rates (18.3% vs. 26.7%, P=0.274).
  • Significant reduction in the second stage of labor (P=0.039) and pushing effort time (P=0.003) with REM.
  • REM positively impacted maternal breathing, pushing intensity, communication, and overall childbirth experience, according to midwives.

Conclusions:

  • REM shows potential in shortening labor duration and improving pain management.
  • REM significantly enhances the maternal childbirth experience.
  • While not significantly reducing cesarean rates, REM offers benefits in labor management and patient satisfaction.