Effect of Spontaneous Pushing Technique during Second Stage of Labor on Labor Outcomes among Primiparas
Mohamed Mahmoud, M., Abd-Elsalm Mohamed, M., Abdelsalam Ramadan, S., Mostafa Elbana, H. (2022). Effect of Spontaneous Pushing Technique during Second Stage of Labor on Labor Outcomes among Primiparas. EKB Journal Management System, 3(2), 664-679. doi: 10.21608/jnsbu.2022.247689
Mona Mohamed Mahmoud; Mohamed Abd-Elsalm Mohamed; Soad Abdelsalam Ramadan; Hemmat Mostafa Elbana. "Effect of Spontaneous Pushing Technique during Second Stage of Labor on Labor Outcomes among Primiparas". EKB Journal Management System, 3, 2, 2022, 664-679. doi: 10.21608/jnsbu.2022.247689
Mohamed Mahmoud, M., Abd-Elsalm Mohamed, M., Abdelsalam Ramadan, S., Mostafa Elbana, H. (2022). 'Effect of Spontaneous Pushing Technique during Second Stage of Labor on Labor Outcomes among Primiparas', EKB Journal Management System, 3(2), pp. 664-679. doi: 10.21608/jnsbu.2022.247689
Mohamed Mahmoud, M., Abd-Elsalm Mohamed, M., Abdelsalam Ramadan, S., Mostafa Elbana, H. Effect of Spontaneous Pushing Technique during Second Stage of Labor on Labor Outcomes among Primiparas. EKB Journal Management System, 2022; 3(2): 664-679. doi: 10.21608/jnsbu.2022.247689

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

Journal of Nursing Science Benha University
Article 44, Volume 3, Issue 2, July 2022, Page 664-679  XML PDF (1.53 MB)
Document Type: Scientific peer reviewed journal
DOI: 10.21608/jnsbu.2022.247689
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Authors
Mona Mohamed Mahmoud* 1; Mohamed Abd-Elsalm Mohamed2; Soad Abdelsalam Ramadan3; Hemmat Mostafa Elbana4
1M.Sc.(2018) of Maternal, Newborn Health Nursing, Faculty of Nursing, Benha University, Egypt
2Obstetrics and Gynecological Medicine, Faculty of Medicine, Benha University, Egypt
3Obstetrics & Gynecological Nursing, Faculty of Nursing, Benha University, Egypt
4Obstetrics & Woman's Health Nursing, Faculty of Nursing, Benha University, Egypt
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.

Keywords
Key words: Labor outcomes; Primiparas; Second stage of labor; Spontaneous pushing
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