Use of fundal pressure during second-stage labor. A pilot Study

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Surgical Techniques in Obstetrics

Background:

• Fundal pressure is an obstetric maneuver sometimes employed to expedite second-stage labor.
• Its use remains controversial due to potential risks and benefits that require further investigation.
• Understanding the impact of fundal pressure on maternal and fetal outcomes is crucial for clinical practice.

Purpose of the Study:

• To compare outcomes between deliveries utilizing fundal pressure and those occurring spontaneously.
• To identify potential adverse effects associated with the use of fundal pressure in labor.

Main Methods:

• A preliminary comparative study involving 34 deliveries with fundal pressure matched against 34 spontaneous deliveries.
• Analysis of key parameters including duration of the second stage of labor and incidence of perineal lacerations.

Main Results:

• Deliveries involving fundal pressure showed a significantly longer second stage of labor.
• A higher incidence of third- and fourth-degree perineal lacerations was observed in the fundal pressure group.
• These findings suggest potential complications associated with the obstetric technique.

Conclusions:

• Fundal pressure may be associated with prolonged labor and increased risk of severe perineal trauma.
• The study highlights the need for careful consideration and discussion of the controversial aspects of fundal pressure.
• Further research is warranted to fully elucidate the risks and benefits of this obstetric intervention.