Bayraktar, EvrimBaser, MuruvvetAçmaz, GökhanGozuyesil, EbruYılmaz, Figen AlpÇetin, ÖznurSahin, Erdem2026-01-242026-01-2420232822-6771https://search.trdizin.gov.tr/tr/yayin/detay/1259323https://doi.org/10.14744/cm.2023.55822https://hdl.handle.net/20.500.12868/3923Objective: 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.eninfo:eu-repo/semantics/openAccessPushing tecniquessecond stage of laborspontaneous pushingValsalva pushingArticle10.14744/cm.2023.558221532502551259323