Rest and descend versus pushing with epidural anesthesia in the second stage of labor: maternal and fetal outcomes.

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Title Rest and descend versus pushing with epidural anesthesia in the second stage of labor: maternal and fetal outcomes.
Publication Type thesis
School or College College of Nursing
Department Nursing
Author Hansen, S. Laurie.
Date 1994-03
Description The study is a randomized, controlled, clinical trial of 167 women with epidural anesthesia comparing women who pushed immediately with those who had a period of rest and descend during the second stage of labor. Most of the data were collected using a computerized charting/fetal monitor. The dependent variables addressed are fetal descent, length of pushing, maternal fatigue, fetal decelerations, Apgar scores, arterial umbilical cord blood ph values, perineal injuries, and the type of delivery. The data were analyzed by parity group. The duration of the second stage of labor is lengthened when a period of rest and descend is used before pushing (p =.000). However, actual pushing time is decreased in primigravidas (p =.005) and in multigravidas (p =.001). Fetal well being, as reflected by Apgar scores and umbilical cord arterial ph values, is not significantly different. There are fewer mild variable decelerations in primigravidas (p =.000), and in multigravidas (p =.052).
Type Text
Publisher University of Utah
Subject Labor, Obstetric; Demographic
Subject MESH Labor Stage, Second; Anesthesia, Epidural
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "Rest and descend versus pushing with epidural anesthesia in the second stage of labor: maternal and fetal outcomes." Spencer S. Eccles Health Sciences Library. Print version of "Rest and descend versus pushing with epidural anesthesia in the second stage of labor: maternal and fetal outcomes." available at J. Willard Marriott Library Special Collection. RG41.5 1994 .H35.
Rights Management © S. Laurie Hansen.
Format application/pdf
Format Medium application/pdf
Identifier us-etd2,255
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available).
Funding/Fellowship The Deseret Foundation at LDS Hospital.
ARK ark:/87278/s6988npx
Setname ir_etd
ID 193853
Reference URL https://collections.lib.utah.edu/ark:/87278/s6988npx
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