The Effects of Pushing Techniques During Second Stage of Labor on Mother and Newborn Health: A Randomized Controlled Trial

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dc.contributor.authorBayraktar, Evrim
dc.contributor.authorBaser, Muruvvet
dc.contributor.authorAçmaz, Gökhan
dc.contributor.authorGozuyesil, Ebru
dc.contributor.authorYılmaz, Figen Alp
dc.contributor.authorÇetin, Öznur
dc.contributor.authorSahin, Erdem
dc.date.accessioned2026-01-24T12:01:03Z
dc.date.available2026-01-24T12:01:03Z
dc.date.issued2023
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractObjective: The Valsalva pushing technique is used routinely in the second stage of labor in many countries. The purpose of this study was to determine the effects of pushing techniques on mother and fetus in birth in this setting. This study evaluated the effects of pushing techniques on the second stage of labor duration and maternal and fetal outcomes. The pregnant women were divided randomly into Valsalva pushing (n=72) or spontaneous pushing (n=73) groups. Materials and Methods: The data of the study are obtained by utilizing the Baseline Obstetric Data Form and Visual Analog Fatigue Scale. Demographic data, second stage period, perineal laceration rates, newborn gscores were evaluated in these cases. Postpartum tests were used for perineal tear, hemorrhagia, hemoglobin level, vital findings, blood pH, pO2 and pCO2, level for the mother while the neonatal tests of apgar score for 1st and 5th min, umbilical artery blood pH, pO2 and pCO2 levels are done for the newborn. Results: Perineal laceration and episyotomy were seen less in the Valsalva pushing group. (p<0.05). The blood pH of the control group was 7.4 while pCO2 was 29.0 and pO2 was 55.9. While pH and pCO2 levels of both groups were similar to each other, pO2 levels were different (p<0.05). Neonatal pH, pCO2, and pO2 levels were similar as well (p>0.05). Valsalva pushing is effective in shorter second stages of labor. Conclusion: The second stage of labor was significantly longer with spontaneous pushing.
dc.identifier.doi10.14744/cm.2023.55822
dc.identifier.endpage255
dc.identifier.issn2822-6771
dc.identifier.issue3
dc.identifier.startpage250
dc.identifier.trdizinid1259323
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1259323
dc.identifier.urihttps://doi.org/10.14744/cm.2023.55822
dc.identifier.urihttps://hdl.handle.net/20.500.12868/3923
dc.identifier.volume15
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofComprehensive medicine
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR-Dizin_20260121
dc.subjectPushing tecniques
dc.subjectsecond stage of labor
dc.subjectspontaneous pushing
dc.subjectValsalva pushing
dc.titleThe Effects of Pushing Techniques During Second Stage of Labor on Mother and Newborn Health: A Randomized Controlled Trial
dc.typeArticle

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