Provider communication during second stage labor predicts spontaneous versus directed pushing

2.50
Hdl Handle:
http://hdl.handle.net/10755/158802
Type:
Presentation
Title:
Provider communication during second stage labor predicts spontaneous versus directed pushing
Abstract:
Provider communication during second stage labor predicts spontaneous versus directed pushing
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2001
Author:Sampselle, Carolyn, PhD
P.I. Institution Name:University of Michigan
Title:Associate Professor
Contact Address:School of Nursing, 400 North Ingalls, Ann Arbor, MI, 48109-0482, USA
Contact Telephone:734.647.0142
Introduction: Although spontaneous pushing during second stage labor is recommended, many providers use a directed approach due to concern about prolonging labor and not providing adequate support to the parturient. Purpose: 1) Validate descriptors distinguishing spontaneous versus directed pushing; 2) Explore provider communication associated with pushing style. Methods: 1) Primiparas', (n=22) mean age 29 years, birth videotapes were scored according to developed criteria identifying pushing style. Two experienced birth unit nurses independently scored 10 videos to assess reliability. 2) Communication was categorized with each type identified by expert panel as encouraging a pushing style: directed (telling how to push, urging continued pushing) or spontaneous (giving encouragement about progress, seeking feedback from women). Results: 1) Interrater reliability correlation coefficient was 0.98, p <.01. Mean (SD) difference of agreement was 1.91% (5.68%). As expected, the percentage of spontaneous pushing time differed (t=9.09, p <. 001) between pushing categories; however no differences were seen in length of second stage or total pushing time. 2) Communication type significantly predicted predominant pushing style (F=20.87, p<.001, adjusted R2=.48). Conclusion: Providers' use of communication that was supportive of spontaneous pushing predicted a higher proportion of actual spontaneous pushing without increasing duration of second stage.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleProvider communication during second stage labor predicts spontaneous versus directed pushingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158802-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Provider communication during second stage labor predicts spontaneous versus directed pushing</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sampselle, Carolyn, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Michigan</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 400 North Ingalls, Ann Arbor, MI, 48109-0482, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">734.647.0142</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">csampsll@umich.edu</td></tr><tr><td colspan="2" class="item-abstract">Introduction: Although spontaneous pushing during second stage labor is recommended, many providers use a directed approach due to concern about prolonging labor and not providing adequate support to the parturient. Purpose: 1) Validate descriptors distinguishing spontaneous versus directed pushing; 2) Explore provider communication associated with pushing style. Methods: 1) Primiparas', (n=22) mean age 29 years, birth videotapes were scored according to developed criteria identifying pushing style. Two experienced birth unit nurses independently scored 10 videos to assess reliability. 2) Communication was categorized with each type identified by expert panel as encouraging a pushing style: directed (telling how to push, urging continued pushing) or spontaneous (giving encouragement about progress, seeking feedback from women). Results: 1) Interrater reliability correlation coefficient was 0.98, p &lt;.01. Mean (SD) difference of agreement was 1.91% (5.68%). As expected, the percentage of spontaneous pushing time differed (t=9.09, p &lt;. 001) between pushing categories; however no differences were seen in length of second stage or total pushing time. 2) Communication type significantly predicted predominant pushing style (F=20.87, p&lt;.001, adjusted R2=.48). Conclusion: Providers' use of communication that was supportive of spontaneous pushing predicted a higher proportion of actual spontaneous pushing without increasing duration of second stage.</td></tr></table>en_GB
dc.date.available2011-10-26T21:24:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:24:39Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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