Document Detail


Use of delayed pushing with epidural anesthesia: findings from a randomized, controlled trial.
MedLine Citation:
PMID:  10685198     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare outcomes between women receiving epidural anesthesia assigned to a group following either a 1-hour "delayed" pushing protocol or directed to initiate pushing at full cervical dilation. STUDY DESIGN: Using a randomized, controlled design, multivariate analyses were used to evaluate second stage labor duration and Apgar scores. An estimated odds ratio equation evaluated fetal descent progress. RESULTS: A 13.68-minute difference occurred in second stage labor length (p = 0.225). No differences were found in Apgar scores (p > 0.09). An estimated odds ratio, that progress in terms of one fetal station unit would occur for control group subjects as compared with subjects with similar progress in the experimental group, was 1.51 (95% confidence interval: 1.16, 1.95). CONCLUSION: Second stage labor was not significantly lengthened, and a similar rate of fetal descent occurred in the absence of directed pushing. Findings support further research on the potential advantages of minimizing the duration of pushing in labor.
Authors:
L J Mayberry; R Hammer; C Kelly; B True-Driver; A De
Related Documents :
16305448 - Analgesia in pacu: intravenous opioids.
18095198 - Usage of remifentanil and fentanyl in intravenous patient-controlled sedo-analgesia.
2451578 - Pharmacokinetic profile of epidural meperidine with and without dextran 70.
18366508 - Open-label, multicenter study of combined intrathecal morphine and ziconotide: addition...
17582628 - Health-related quality of life among patients cured by surgery for esophageal cancer.
12046638 - Folinic acid (leucovorin) as an adjunctive treatment for ssri-refractory depression.
Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  19     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  1999 Jan 
Date Detail:
Created Date:  2000-03-09     Completed Date:  2000-03-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  26-30     Citation Subset:  IM    
Affiliation:
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anesthesia, Epidural*
Anesthesia, Obstetrical*
Apgar Score
Birth Weight
Delivery, Obstetric
Female
Humans
Labor Stage, Second*
Pilot Projects
Pregnancy
Time Factors

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


Previous Document:  Readmission for group B streptococci or Escherichia coli infection among full-term, singleton, vagin...
Next Document:  Skin care practices in the neonatal nursery: a clinical survey.