A pilot assessment of promoting passive fetal descent for management of low risk primigravidas during the second stage of labor.

2.50
Hdl Handle:
http://hdl.handle.net/10755/160056
Type:
Presentation
Title:
A pilot assessment of promoting passive fetal descent for management of low risk primigravidas during the second stage of labor.
Abstract:
A pilot assessment of promoting passive fetal descent for management of low risk primigravidas during the second stage of labor.
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Hanson, Lisa, DNSc, CNM
P.I. Institution Name:Marquette University
Title:Associate Professor
Contact Address:Clark Hall, 363 - CON, PO Box 1881, Milwaukee, WI, 53201-1881, USA
Contact Telephone:414-288-3841
Purpose: A gap exists between research evidence and current practice in the management of second stage labor. Passive descent (laboring down) has been studied and recommended for anesthetized women due to identified maternal and fetal benefits. However, passive descent has not been examined systematically for unanesthetized low risk laboring women. A description and evaluation of the strategies used to direct women during second stage is needed. Theoretical/Conceptual Framework: Second stage of labor has been theorized to be phasic - latent, active and transition. Yet, the common practice is that care providers rely on the complete dilatation of the cervix to begin instructing women to push. Researchers have described conditions conducive to fetal descent, but these have not been systematically studied. Naturalistic observation of labor and related care practices are needed to examine possible alternative management approaches. Subjects: A convenience sample of 10 full-term, healthy primigravidas who wish to labor without epidural anesthesia will be enrolled. Method: Research Assistants (RAs) will begin data collection in the late first stage of labor. At the time of complete cervical dilation, subjects will experience second stage without provider direction to bear down. Non-participant observation will be documented using an adaptation of The Naturalistic Observation of the Childbirth Environment Tool. Measures made at prescribed intervals include pain and fatigue scales, maternal sounds, behaviors and positions vital signs, contraction patterns, fetal heart rate pattern, provider communication, behavior and management suggestions and response to maternal cues. Following the birth, the client, nurse and provider will be interviewed by the RA to determine their perspectives on the management approach experienced. Planned analysis: The data from the observation tools will be analyzed using descriptive statistics. The interviews will be documented and analyzed using thematic analysis. Acknowledgement: This study was funded by Sigma Theta Tau-Delta Gamma Chapter. [Poster Presentation]
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.titleA pilot assessment of promoting passive fetal descent for management of low risk primigravidas during the second stage of labor.en_GB
dc.identifier.urihttp://hdl.handle.net/10755/160056-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A pilot assessment of promoting passive fetal descent for management of low risk primigravidas during the second stage of labor.</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hanson, Lisa, DNSc, CNM</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University</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">Clark Hall, 363 - CON, PO Box 1881, Milwaukee, WI, 53201-1881, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">414-288-3841</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Lisa.Hanson@mu.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose: A gap exists between research evidence and current practice in the management of second stage labor. Passive descent (laboring down) has been studied and recommended for anesthetized women due to identified maternal and fetal benefits. However, passive descent has not been examined systematically for unanesthetized low risk laboring women. A description and evaluation of the strategies used to direct women during second stage is needed. Theoretical/Conceptual Framework: Second stage of labor has been theorized to be phasic - latent, active and transition. Yet, the common practice is that care providers rely on the complete dilatation of the cervix to begin instructing women to push. Researchers have described conditions conducive to fetal descent, but these have not been systematically studied. Naturalistic observation of labor and related care practices are needed to examine possible alternative management approaches. Subjects: A convenience sample of 10 full-term, healthy primigravidas who wish to labor without epidural anesthesia will be enrolled. Method: Research Assistants (RAs) will begin data collection in the late first stage of labor. At the time of complete cervical dilation, subjects will experience second stage without provider direction to bear down. Non-participant observation will be documented using an adaptation of The Naturalistic Observation of the Childbirth Environment Tool. Measures made at prescribed intervals include pain and fatigue scales, maternal sounds, behaviors and positions vital signs, contraction patterns, fetal heart rate pattern, provider communication, behavior and management suggestions and response to maternal cues. Following the birth, the client, nurse and provider will be interviewed by the RA to determine their perspectives on the management approach experienced. Planned analysis: The data from the observation tools will be analyzed using descriptive statistics. The interviews will be documented and analyzed using thematic analysis. Acknowledgement: This study was funded by Sigma Theta Tau-Delta Gamma Chapter. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-26T22:35:04Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:35:04Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.