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:: Volume 33, Issue 1 (spring 2023) ::
MEDICAL SCIENCES 2023, 33(1): 91-98 Back to browse issues page
The effect of second stage delivery management on maternity experience and maternal fatigue in primiparous women
Roya Baghani1 , Maryam Aradmehr 2
1- Instructor, Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
2- Instructor, Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran , maryam.aradmehr@yahoo.com
Abstract:   (565 Views)
Background: The second stage of labor requires high energy. Childbirth fatigue is an unpleasant experience for mothers. Therefore, this study investigated the effect of second stage delivery management on maternity experience and maternal fatigue in primiparous women.
Materials and methods: This single blind experimental study was accomplished on 60 qualified women in Mobini Hospital, Sabzevar. Individuals were divided into one of two groups based on the mother's desire. In the pushing active group, with the onset of contractions, mother breathes deeply and then holds the breath and push ten seconds. In the pushing spontaneous group, the mother does not actively push with the onset of contraction (Unless the pressure and force that is involuntary caused by the pressure of the fetus and pelvic floor dilatation) until the three centimeters of fetal head appear in the vaginal entrance. Then the mothers were taken to the delivery bed. The maternal fatigue and labor experience checklist were completed one hour after delivery. Data were analyzed with SPSS software version 16 by t test and chi-square.
Results: In the pushing spontaneous group, postpartum fatigue was less (p=0.01) and mothers reported a more pleasant feeling of delivery than mothers pushing active group (p=0.001). Apgar score did not differ between two groups.
Conclusion: Pushing spontaneous method was associated with fewer fatigue, and provides a more pleasant experience for delivery to the mother; therefore, it is advisable to use this method in the second stage of delivery.
 
Keywords: Fatigue, Pushing, Labor, Experience
Full-Text [PDF 333 kb]   (291 Downloads)    
Semi-pilot: Quazi-Experimental | Subject: Midwifery
Received: 2022/08/21 | Accepted: 2022/10/29 | Published: 2023/03/30
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Baghani R, Aradmehr M. The effect of second stage delivery management on maternity experience and maternal fatigue in primiparous women. MEDICAL SCIENCES 2023; 33 (1) :91-98
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Volume 33, Issue 1 (spring 2023) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
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