2.50
Hdl Handle:
http://hdl.handle.net/10755/182397
Category:
Abstract
Type:
Presentation
Title:
The Effect of Un-Coached, Open Glottis Pushing on the Second Stage of Labor
Author(s):
Berry, Holly
Author Details:
Holly Berry, RNC-OB, Schneck Medical Center, 411 W. Tipton Street, Seymour, IN, USA, 47274, General Phone Number: +1(812) 522-2349.
Abstract:
Objective: To compare traditional, coached closed glottis pushing to patient-directed, open glottis pushing during the second stage of labor in nulliparous patients. Design: A randomized controlled quantitative study. Participants: Nulliparous patients without medical or obstetrical complications achieving a vaginal delivery. Method: Thirty-five laboring women using closed glottis pushing were compared to 36 women who used primarily open glottis pushing. Data collection sheets completed by the labor nurses as well as chart reviews supplied information pertaining to the following outcome measures: length of the second stage of labor, perineal health, and infant outcome. Results: Those mothers utilizing open glottis pushing had fewer episiotomies, more intact perineums due to fewer lacerations, and shorter second stages of labor. Infant outcome was similar between the two groups with no statistically significant difference in Apgar scores and no admissions to a special care nursery status. Conclusion: This study supports the AWHONN standard of open glottis pushing. Effective strategies for implementing caregiver practice change, from prenatal classes to providers and nurses, should be considered. References: Bloom, S. L., Casey, B. M., Schaffer, J. I., McIntire, D. D., & Leveno, K. J. (2006). A ; Cheng, Y. W., Hopkins, L. M., & Caughey, A. B. (2004). How long is too long: Does a prolonged second stage of labor in nulliparous women affect maternal and neonatal outcomes? American Journal of Obstetrics and Gynecology, 191, 933-938. ; Fraser, W. D., Maracoux, S., Krauss, I., Douglas, J., Goulet, C., & Boulvain, M. (2000). Multicenter, randomized, controlled trial of delayed pushing for nulliparous women in the second stage of labor with continuous epidural analgesia. American Journal of Obstetrics and Gynecology, 182, 1165-1172. ; Hansen, S. L., Clark, S. L., & Foster, J. C. (2002). Active pushing versus passive fetal descent in the second stage of labor: A randomized controlled trial. Obstetrics and Gynecology, 99, 29-34. ; Mayberry, L. J., Wood, S. H., Strange, L. B., Lee, L., Heisler, D. R., & Nielsen-Smith, K. (2000). Second stage labor management: Promotion of evidence-based practice and a collaborative approach to patient care (Symposium for AHWONN).; Petrou, S., Coyle, D., & Fraser, W. D. (2000). Cost-effectiveness of a delayed pushing policy for patients with epidural anesthesia. American Journal of Obstetrics and Gynecology, 182, 1158-1164. ; Practice Guideline (Ed.). (2000). Evidence-based clinical practice guideline: Nursing management of the second stage of labor. Association of Women's Health, Obstetric and Neonatal Nurses. ; Press, J., Klein, M. C., & Von Dadelszen, P. (2006, January 17). In Mode of delivery and pelvic floor dysfunction: a systematic review of the literature on urinary and fecal incontinence and sexual dysfunction by mode of delivery. Retrieved February 12, 2006, from Medscape Web Site: http://www.medscape.com.; Roberts, C. L. (2004). Delayed versus early pushing in women with epidural anesthesia. BJOG: an International Journal of Obstetrics and Gynaecology, 111, 1333-1340. ; Roberts, J. E. (2002). The ; Sampselle, C. M., Miller, J. M., Luecha, Y., Fisher, K., & Rosten, L. (2005). Provider support of spontaneous pushing during the second stage of labor. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 34, 695-702. ; Schaffer, J. J., Bloom, S. S., Casey, B. M., McIntire, D. D., Nihira, M. A., & Leveno, K. J. (2005). A randomized trial of the effects of coached vs uncoached maternal pushing during the second stage of labor on postpartum pelvic floor structure and function. American Journal of Obstetrics and Gynecology, 192, 16992-1696. ; Simpson, K. R. (2005). Obstetric ; Simpson, K. R., & Knox, G. E. (2003). Common areas of litigation related to care during labor and birth: Recommendations to promote patient safety and decrease risk exposure. Journal of Perinatal & Neonatal Nursing, 17, 110-128.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Effect of Un-Coached, Open Glottis Pushing on the Second Stage of Laboren_GB
dc.contributor.authorBerry, Hollyen_US
dc.author.detailsHolly Berry, RNC-OB, Schneck Medical Center, 411 W. Tipton Street, Seymour, IN, USA, 47274, General Phone Number: +1(812) 522-2349.en_US
dc.identifier.urihttp://hdl.handle.net/10755/182397-
dc.description.abstractObjective: To compare traditional, coached closed glottis pushing to patient-directed, open glottis pushing during the second stage of labor in nulliparous patients. Design: A randomized controlled quantitative study. Participants: Nulliparous patients without medical or obstetrical complications achieving a vaginal delivery. Method: Thirty-five laboring women using closed glottis pushing were compared to 36 women who used primarily open glottis pushing. Data collection sheets completed by the labor nurses as well as chart reviews supplied information pertaining to the following outcome measures: length of the second stage of labor, perineal health, and infant outcome. Results: Those mothers utilizing open glottis pushing had fewer episiotomies, more intact perineums due to fewer lacerations, and shorter second stages of labor. Infant outcome was similar between the two groups with no statistically significant difference in Apgar scores and no admissions to a special care nursery status. Conclusion: This study supports the AWHONN standard of open glottis pushing. Effective strategies for implementing caregiver practice change, from prenatal classes to providers and nurses, should be considered. References: Bloom, S. L., Casey, B. M., Schaffer, J. I., McIntire, D. D., & Leveno, K. J. (2006). A ; Cheng, Y. W., Hopkins, L. M., & Caughey, A. B. (2004). How long is too long: Does a prolonged second stage of labor in nulliparous women affect maternal and neonatal outcomes? American Journal of Obstetrics and Gynecology, 191, 933-938. ; Fraser, W. D., Maracoux, S., Krauss, I., Douglas, J., Goulet, C., & Boulvain, M. (2000). Multicenter, randomized, controlled trial of delayed pushing for nulliparous women in the second stage of labor with continuous epidural analgesia. American Journal of Obstetrics and Gynecology, 182, 1165-1172. ; Hansen, S. L., Clark, S. L., & Foster, J. C. (2002). Active pushing versus passive fetal descent in the second stage of labor: A randomized controlled trial. Obstetrics and Gynecology, 99, 29-34. ; Mayberry, L. J., Wood, S. H., Strange, L. B., Lee, L., Heisler, D. R., & Nielsen-Smith, K. (2000). Second stage labor management: Promotion of evidence-based practice and a collaborative approach to patient care (Symposium for AHWONN).; Petrou, S., Coyle, D., & Fraser, W. D. (2000). Cost-effectiveness of a delayed pushing policy for patients with epidural anesthesia. American Journal of Obstetrics and Gynecology, 182, 1158-1164. ; Practice Guideline (Ed.). (2000). Evidence-based clinical practice guideline: Nursing management of the second stage of labor. Association of Women's Health, Obstetric and Neonatal Nurses. ; Press, J., Klein, M. C., & Von Dadelszen, P. (2006, January 17). In Mode of delivery and pelvic floor dysfunction: a systematic review of the literature on urinary and fecal incontinence and sexual dysfunction by mode of delivery. Retrieved February 12, 2006, from Medscape Web Site: http://www.medscape.com.; Roberts, C. L. (2004). Delayed versus early pushing in women with epidural anesthesia. BJOG: an International Journal of Obstetrics and Gynaecology, 111, 1333-1340. ; Roberts, J. E. (2002). The ; Sampselle, C. M., Miller, J. M., Luecha, Y., Fisher, K., & Rosten, L. (2005). Provider support of spontaneous pushing during the second stage of labor. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 34, 695-702. ; Schaffer, J. J., Bloom, S. S., Casey, B. M., McIntire, D. D., Nihira, M. A., & Leveno, K. J. (2005). A randomized trial of the effects of coached vs uncoached maternal pushing during the second stage of labor on postpartum pelvic floor structure and function. American Journal of Obstetrics and Gynecology, 192, 16992-1696. ; Simpson, K. R. (2005). Obstetric ; Simpson, K. R., & Knox, G. E. (2003). Common areas of litigation related to care during labor and birth: Recommendations to promote patient safety and decrease risk exposure. Journal of Perinatal & Neonatal Nursing, 17, 110-128.en_GB
dc.date.available2011-10-28T15:22:28Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:22:28Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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