Document Detail


Effect of the birth chair on duration of second stage labor, fetal outcome, and maternal blood loss.
MedLine Citation:
PMID:  3871937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effect of delivering in a birth chair on duration of second stage labor, fetal outcome, and maternal blood loss was examined in a retrospective study. The sample consisted of 60 primiparous women, 37 to 41 weeks gestation with a normal pregnancy and labor, 30 delivering on a traditional delivery table and 30 delivering in a birth chair. Comparisons were made between groups for mean duration of second stage labor, mean Apgar scores at one and five minutes, and mean maternal hemoglobin and hematocrit values during the pre- and post-partum periods. No significant difference was found between delivery table and birth chair groups for mean duration of second stage labor (birth chair, X = 60 minutes versus delivery table, X = 43 minutes, t = 1.66, p = .10). Mean Apgar scores at one and five minutes were nearly identical. Statistically significant differences existed between groups in mean maternal hemoglobin and hematocrit values. Both the mean hemoglobin and the mean hematocrit upon admission were significantly higher in the birth chair group (p less than .027). However, postpartally the birth chair group had significantly lower mean hemoglobin and hematocrit values (p less than .025). These findings suggest that the birth chair, as an alternate delivery method, is safe in terms of fetal outcome but presents no advantage to the mother in terms of shorter second stage labor. Further investigation of maternal blood loss is recommended to rule out possible untoward effects.
Authors:
M D Shannahan; B H Cottrell
Related Documents :
312017 - Obstetric cholestasis. a 14 year review.
15804787 - Cesarean delivery during second-stage labor: characteristics and diagnostic accuracy.
15866107 - Predictive value of maternal serum and vaginal interleukin-6 levels in preterm labor.
3981097 - Childbirth preparation and outcomes of labor and delivery in primiparous women.
6488057 - Development of tactile discrimination capacity in macaca mulatta. ii. effects of partia...
2596437 - A new approach to characterize whole-gut transit in infants with use of a nonabsorbable...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nursing research     Volume:  34     ISSN:  0029-6562     ISO Abbreviation:  Nurs Res     Publication Date:    1985 Mar-Apr
Date Detail:
Created Date:  1985-04-12     Completed Date:  1985-04-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376404     Medline TA:  Nurs Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  89-92     Citation Subset:  AIM; IM; N    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Apgar Score
Delivery, Obstetric / methods*
Equipment and Supplies, Hospital*
Female
Hematocrit
Hemoglobins / analysis
Humans
Infant, Newborn
Labor Stage, Second*
Labor, Obstetric*
Postpartum Hemorrhage / etiology*
Pregnancy
Retrospective Studies
Chemical
Reg. No./Substance:
0/Hemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Munchausen syndrome by proxy: a new complication of central venous catheterization.
Next Document:  Symposium on infections in the compromised host. The competent internal immune system.