Rest and descend versus pushing with epidural anesthesia in the second stage of labor: maternal and fetal outcomes.
citation_date
1994-03
Description
The study is a randomized, controlled, clinical trial of 167 women with epidural anesthesia comparing women who pushed immediately with those who had a period of rest and descend during the second stage of labor. Most of the data were collected using a computerized charting/fetal monitor. The dependent variables addressed are fetal descent, length of pushing, maternal fatigue, fetal decelerations, Apgar scores, arterial umbilical cord blood ph values, perineal injuries, and the type of delivery. The data were analyzed by parity group. The duration of the second stage of labor is lengthened when a period of rest and descend is used before pushing (p =.000). However, actual pushing time is decreased in primigravidas (p =.005) and in multigravidas (p =.001). Fetal well being, as reflected by Apgar scores and umbilical cord arterial ph values, is not significantly different. There are fewer mild variable decelerations in primigravidas (p =.000), and in multigravidas (p =.052).
Type
text;
citation_publisher
University of Utah;
citation_keywords
Labor, Obstetric; Demographic;
Subject (MESH)
Labor Stage, Second; Anesthesia, Epidural;
citation_dissertation_institution
University of Utah;
citation_dissertation_name
MS;
citation_language
eng;
Relation-Is Version Of
Digital reproduction of “Rest and descend versus pushing with epidural anesthesia in the second stage of labor: maternal and fetal outcomes.” Spencer S. Eccles Health Sciences Library. Print version of “Rest and descend versus pushing with epidural anesthesia in the second stage of labor: maternal and fetal outcomes.” available at J. Willard Marriott Library Special Collection. RG41.5 1994 .H35.
