Effect of Spontaneous Pushing Technique during Second Stage of Labor on Labor Outcomes among Primiparas

Mohamed Mahmoud, Mona; Abd-Elsalm Mohamed, Mohamed; Abdelsalam Ramadan, Soad; Mostafa Elbana, Hemmat

doi:10.21608/jnsbu.2022.247689

Effect of Spontaneous Pushing Technique during Second Stage of Labor on Labor Outcomes among Primiparas

Document Type : Scientific peer reviewed journal

Authors

¹ M.Sc.(2018) of Maternal, Newborn Health Nursing, Faculty of Nursing, Benha University, Egypt

² Obstetrics and Gynecological Medicine, Faculty of Medicine, Benha University, Egypt

³ Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt

⁴ Obstetrics & Woman's Health Nursing, Faculty of Nursing, Benha University, Egypt

10.21608/jnsbu.2022.247689

Abstract

Background: Maternal pushing during the second stage of labor is important contributor to the
involuntary expulsive force developed by uterine contraction results to influence on the mother and
fetus. Aim of study: Was to evaluate the effect of spontaneous pushing technique during second
stage of labor on labor outcomes among primiparas. Design: A quasi- experimental design was
utilized to conduct the study. Setting: The study was conducted at Obstetrics and Gynecology
department in Benha university hospital. Sample: A purposive sample was used to conduct the
data, the total sample was 300 parturient women (150) control group and (150) study group. Tools
of data collection: Six tools were utilized for data collection. A structured interviewing
questionnaire, physical assessment and observation sheet during labor, visual analogue scale,
modified fatigue symptom checklist, birth outcomes sheet and women satisfaction questionnaire.
Results: (82%) of women in study group had no maternal complications after delivery compared to
(55.3%) control group. According to Apgar’s score there was a highly statistically significant
difference between two groups at the 1st minute while there was a statistically significance
difference at the 5th minute, (71.5%) of women at study group were satisfied regarding utilized
pushing technique and there was no severe symptoms in study group according to total score of
modified fatigue symptoms compared to (64.5%) control group. Conclusion: Spontaneous pushing
technique during the second stage of labor enhanced maternal and neonatal outcomes and shortens
the duration of second stage. Recommendations: Spontaneous pushing during second stage of
labor could be recommended to be included in maternal hospitals protocol.

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