Document Detail

Women's views of second-stage labor as assessed by interviews and videotapes.
MedLine Citation:
PMID:  2285436     Owner:  NLM     Status:  MEDLINE    
Twenty women were selected from public and private maternity services and interviewed by nurses and nurse-midwives on a research team. The women were shown videotapes of their second-stage labors that for 15 of them had been recorded by 2 other members of the research team. Four videos were provided by mothers who had had home births and one from a mother whose birth was filmed at a birth center. The interviews were analyzed for major themes; the theme reported here is women's experiences of pushing. Women reported wide variations in sensations during the second stage. Whereas 9 of 16 women expressed feelings of relief or pressure and stretching, 7 described pushing as painful, miserable, or horrible. Thirteen of 19 women had well defined urges to push, 1 had an intermittent urge, and 5 had no urge. Women often felt unprepared for the sensations and work of second-stage labor, and caregivers' instructions commonly did not seem to be in synchrony with physiological responses. We conclude that childbirth educators and caregivers must prepare women more realistically for the second stage. They would be more effective if they responded to maternal behavior, rather than giving arbitrary instructions about pushing.
S McKay; T Barrows; J Roberts
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  17     ISSN:  0730-7659     ISO Abbreviation:  Birth     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1991-03-22     Completed Date:  1991-03-22     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  192-8     Citation Subset:  N    
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MeSH Terms
Attitude to Health*
Interviews as Topic
Labor Stage, Second / physiology,  psychology*
Patient Education as Topic / standards
Videotape Recording
Grant Support
1 R01 NR 01500-03/NR/NINR NIH HHS

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

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