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Related Experiment Videos

Pushing techniques during labor: issues and controversies

L Petersen1, P Besuner

  • 1Department of Nursing, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|December 13, 1997
PubMed
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Management of the second stage of labor remains controversial, particularly regarding pushing techniques and readiness determination. This review highlights current practices and identifies areas for future nursing research to improve labor support.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Nursing Research

Background:

  • Second-stage labor management involves pushing techniques and readiness determination, which are areas of ongoing debate among healthcare professionals.
  • Current practices include spontaneous bearing down, directed pushing, and prolonged breath-holding during labor, with varying opinions on their efficacy and safety.

Purpose of the Study:

  • To discuss current practice outcomes related to controversies in second-stage labor management.
  • To present findings from the AWHONN Second Stage Labor Research Utilization Project (1994-1995).
  • To identify recommendations for future nursing research in labor management.

Main Methods:

  • Review of available research literature on second-stage labor management.

Related Experiment Videos

  • Analysis of outcomes from the AWHONN Second Stage Labor Research Utilization Project (1994-1995).

    • Main Results:

    • Identified key areas of contention: spontaneous versus directed pushing, determination of pushing readiness, and breath-holding techniques.
    • Highlighted the lack of consensus and varying opinions among physicians and nurses regarding these practices.

    Conclusions:

    • Second-stage labor management requires further investigation to establish evidence-based guidelines.
    • Future nursing research is essential to address current controversies and improve patient care during labor.