2.50
Hdl Handle:
http://hdl.handle.net/10755/156745
Type:
Presentation
Title:
Managing the Second Stage of Labor: Using Evidence to Guide Practice
Abstract:
Managing the Second Stage of Labor: Using Evidence to Guide Practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 21, 2004
Author:Cesario, Sandra K., RNC, PhD
P.I. Institution Name:Texas Woman's University
Title:Director of Research & Assistant Professor
Objective: The primary objectives of this exploratory study were: (1) review the literature to identify evidence-based labor management interventions, (2) re-evaluate the “average” length of labor associated with good childbirth outcomes, and (3) to determine if there is a consensus among labor and delivery nurse managers regarding the need to revise the Friedman’s Labor Curve. Design: This pilot study utilized a comprehensive literature review and an anonymous cross-sectional survey design. Surveys were mailed to 500 maternity care agencies in the United States, Canada, and Mexico with a return rate of 17.8% (n=89). Each participating agency was asked to submit five patient cases to be included in the analysis. Sample and Setting: The sample of patient cases (n=419) was drawn from randomly selected maternity care agencies throughout North America representing all sizes of agencies and geographic locations. The cases submitted for analysis represented women 14 to 44 years of age with varying ethnicities who received no regional anesthesia or oxytocin augmentation or induction. Results: The average length of the second stage of labor for women today is similar to the length described by Friedman in 1954. However, a wider range of “normal” was found in the current study. A review of literature suggests non-directive pushing and a greater variety of birthing positions improves second stage labor outcomes. 87.6% of nurse managers believed that the Friedman’s Labor Curve should be revised to meet the needs of current patient populations, technological advances, and nursing responsibilities. Conclusions: The parameters, assessments, and interventions currently employed during the second stage of labor need to be re-evaluated to incorporate the most recent evidence to support best practices.
Repository Posting Date:
26-Oct-2011
Date of Publication:
21-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleManaging the Second Stage of Labor: Using Evidence to Guide Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156745-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Managing the Second Stage of Labor: Using Evidence to Guide Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 21, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cesario, Sandra K., RNC, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Texas Woman's University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Research &amp; Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">scesario@twu.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: The primary objectives of this exploratory study were: (1) review the literature to identify evidence-based labor management interventions, (2) re-evaluate the &ldquo;average&rdquo; length of labor associated with good childbirth outcomes, and (3) to determine if there is a consensus among labor and delivery nurse managers regarding the need to revise the Friedman&rsquo;s Labor Curve. Design: This pilot study utilized a comprehensive literature review and an anonymous cross-sectional survey design. Surveys were mailed to 500 maternity care agencies in the United States, Canada, and Mexico with a return rate of 17.8% (n=89). Each participating agency was asked to submit five patient cases to be included in the analysis. Sample and Setting: The sample of patient cases (n=419) was drawn from randomly selected maternity care agencies throughout North America representing all sizes of agencies and geographic locations. The cases submitted for analysis represented women 14 to 44 years of age with varying ethnicities who received no regional anesthesia or oxytocin augmentation or induction. Results: The average length of the second stage of labor for women today is similar to the length described by Friedman in 1954. However, a wider range of &ldquo;normal&rdquo; was found in the current study. A review of literature suggests non-directive pushing and a greater variety of birthing positions improves second stage labor outcomes. 87.6% of nurse managers believed that the Friedman&rsquo;s Labor Curve should be revised to meet the needs of current patient populations, technological advances, and nursing responsibilities. Conclusions: The parameters, assessments, and interventions currently employed during the second stage of labor need to be re-evaluated to incorporate the most recent evidence to support best practices.</td></tr></table>en_GB
dc.date.available2011-10-26T15:05:34Z-
dc.date.issued2004-07-21en_GB
dc.date.accessioned2011-10-26T15:05:34Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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