scholarly journals MEASUREMENT OF FETAL OCCIPUT-SPINE ANGLE DURING THE FIRST STAGE OF LABOR IN PRIMIGRAVIDA AS A PREDICTOR OF THE MODE OF LABOR

2021 ◽  
Vol 50 (4) ◽  
pp. 2655-2666
Keyword(s):  
First Stage Of Labor

PENGARUH PEMBERIAN TEKNIK COUNTERPRESSURE TERHADAP PENURUNAN INTENSITAS NYERI PADA KALA I PERSALINAN DI RSUD SAWERIGADING PALOPO

2018 ◽  
Vol 7 (09) ◽  
pp. 91-96
Author(s):  
Irmayanti. A.Oka
Keyword(s):  
Treatment Group ◽  
Standard Treatment ◽  
T Test ◽  
Labor Pain ◽  
Delivery Room ◽  
Control Group ◽  
Group Comparison ◽  
Treatment Data ◽  
Static Group ◽  
First Stage Of Labor

The research aimed at investigating the effect of giving counterpressure technique to decrease the intensity of pain in the first stage of labor in the delivery room of RSUD Sawerigading Palopo. This study was conducted in a preexperimental manner with static group comparison design, in subject static group comparison design divided into two groups, where the treatment group was followed by observation and observation result compared with the observation result in the control group which only received standard treatment. Data were analyzed using T test. Where t value hit 6.971> t table 2.05, so it can be concluded that the results obtained mean that there is influence of counterpressure technique is big enough to decrease the intensity of labor pain. Keyword: Counterpressure, Labor Pain, Kala I

scholarly journals 786: Prior prolonged first stage of labor is associated with prolonged first stage in subsequent pregnancies

2019 ◽  
Vol 220 (1) ◽  
pp. S514
Author(s):  
Matthew A. Shanahan ◽  
Candice Woolfolk ◽  
Nandini Raghuraman ◽  
Molly J. Stout ◽  
George A. Macones ◽  
...  
Keyword(s):  
First Stage Of Labor

scholarly journals Locked twins—remote from term: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Abraham Fessehaye ◽  
Ferid A. Abubeker ◽  
Mekdes Daba
Keyword(s):  
Gestational Age ◽  
Twin Pregnancy ◽  
Caesarian Section ◽  
Obstetric Complication ◽  
Second Stage ◽  
Case Summary ◽  
History Of ◽  
Twin Pregnancies ◽  
Abdominal Delivery ◽  
First Stage Of Labor

Abstract Background Locked twins is a rare and hazardous obstetric complication, which occurs in approximately 1:100 twin pregnancies. One of the known etiologic factors for locked twins is size of the twins. We report a case of chin-to-chin locked twins that occurred at gestational age of 30 weeks pus 6 days. Case summary A 27 years-old primigravida Oromo mother presented with a history of pushing down pain and passage of liquor of 6 hours duration at gestational age of 30 weeks plus 6 days. With a diagnosis of twin pregnancy (first twin non-vertex), abdominal delivery was decided in latent first stage of labor but mother refused caesarian delivery and she was allowed to labor with the hope of achieving a vaginal delivery. In second stage, interlocking twin was encountered and a low vertical cesarean section was done to effect delivery of twins without the need to decapitate the first twin. Conclusion Locked twin is a rare obstetric complication. Whenever it is encountered, successful delivery can be achieved without the need to have decapitation of the first twin during caesarian section.

The Effects of Water Immersion during First Stage of Labor on Postpartum Systemic Inflammatory Response

2021 ◽  
Author(s):  
Ayçağ Yorgancı ◽  
Gul Nihal Buyuk ◽  
Mesut Akyol ◽  
Özlem Gündüz ◽  
Banu Seven ◽  
...  
Keyword(s):  
Inflammatory Response ◽  
Postpartum Period ◽  
Neonatal Intensive Care ◽  
Water Immersion ◽  
Blood Parameters ◽  
Systemic Inflammatory Response ◽  
Lymphocyte Ratio ◽  
Early Postpartum ◽  
Multiparous Women ◽  
First Stage Of Labor

Abstract Objective The systemic inflammatory response is a cascade of physiologic reactions that arise in response to trauma, infection, burn, or any kind of injury. This study aimed to determine the effects of water immersion during the first stage of labor on the systemic inflammatory indices in the postpartum period. Materials and methods In this retrospective study, 125 healthy multiparous women with uncomplicated pregnancies between 37 and 41 weeks of gestation who elected for immersion in water during the first stage of labor were compared with multiparous uncomplicated term women who had conventional vaginal births on land (n=125). Age, parity, body mass index (BMI), gestational age, duration of labor, birth weight, Apgar scores, neonatal intensive care unit admissions, and ante- and postpartum whole blood parameters were noted. Antepartum and postpartum neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV) were calculated for all patients as systemic inflammatory indices. Results Demographic characteristics and birth outcomes of both groups were similar except BMI, which was statistically significantly higher in the water immersion group. There were no statistical differences in antepartum NLR, MLR, PLR, and MPV between the 2 groups. However, postpartum NLR, MLR, PLR, and MPV were statistically significantly lower in the water immersion group compared to the controls. Conclusion Water immersion during the first stage of labor might decrease systemic inflammatory indices in the early postpartum period.

scholarly journals Women’s experience and satisfaction with midwife-led maternity care: a cross-sectional survey in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying Liu ◽  
Tengteng Li ◽  
Nafei Guo ◽  
Hui Jiang ◽  
Yuehong Li ◽  
...  
Keyword(s):  
Family Member ◽  
Epidural Anesthesia ◽  
Maternity Care ◽  
Perineal Pain ◽  
Satisfaction Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
High Satisfaction ◽  
Women's Experience ◽  
First Stage Of Labor

Abstract Background Low risk pregnancy ending in a vaginal birth is best served and guided by a midwife. Utilizing a midwife in such cases offers many emotional and economic advantages and does not increase the risks for mother or neonate. However, women’s experience and satisfaction of midwife-led maternity care is rarely reported in China. The primary objective of this study is to describe the experience of Chinese women receiving midwife-led maternity care, and to report their satisfaction level of the experience. Methods The study is a cross-sectional survey of 4192 women who had natural birth from March–June 2019 in a maternity care center, Shanghai, China. We used a self-administered questionnaire addressing items related to women’s experience during childbirth, as well as their satisfaction with midwife-led maternity care. We also included demographic and perinatal characteristics of each participant. Descriptive statistics and correlations analysis between groups of different experience and satisfaction were used. Results In this sample, 87.7% of women had a Doula and a family member present during childbirth. Epidural anesthesia was used in 75.6% and episiotomy was needed in 23.2%. Free positioning during the first stage of labor and free positioning during the second stage of labor and delivery were adopted in 84.3 and 67.9% of the cases, respectively. Moderate to severe perineal pain and moderate to severe perineal edema were reported in 43.1 and 12.2% of the participants, respectively. High satisfaction level was found when there was midwife-led prenatal counseling and presence of Doula and family member, Lamaze breathing techniques, warm perineal compresses, epidural anesthesia, free positioning during the first stage of labor, and midwifes’ postpartum guidance. Negative satisfaction was seen with perineal pain and edema. Conclusion Women in this survey generally had high satisfaction with midwife-led maternity care. This satisfaction is probably felt because of the prenatal counseling by the midwife and allowing a Doula and a family member in the room during childbirth. Other intangible factors to improve the satisfaction level were Lamaze breathing techniques, warm perineal compresses, epidural anesthesia, free positioning during first stage of labor, and early skin to skin contact.

scholarly journals The effects of transcutaneous electrical nerve stimulation during the first stage of labor: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anne Njogu ◽  
Si Qin ◽  
Yujie Chen ◽  
Lizhen Hu ◽  
Yang Luo
Keyword(s):  
Transcutaneous Electrical Nerve Stimulation ◽  
Controlled Trial ◽  
Labor Pain ◽  
Control Group ◽  
Electrical Nerve Stimulation ◽  
Randomized Controlled ◽  
Active Labor ◽  
Vas Scores ◽  
Experimental Group ◽  
First Stage Of Labor

Abstract Background Labor pain during childbirth can have devastating effects on the progress of labor, mother, and fetus. Consequently, the management of labor pain is crucial for the well-being of the mother and fetus. Transcutaneous electrical nerve stimulation (TENS) is a non -pharmacological analgesic technique. It uses a low-voltage electrical current to activate descending inhibitory systems in the central nervous system to relieve pain. This study aimed to determine the effects of TENS therapy in the first stage of labor. Methods In this single-blind randomized controlled trial, we screened low-risk pregnant women who anticipated spontaneous vaginal delivery. Women were assigned (1:1) to either the experimental group (received TENS therapy in the first stage of labor) or the control group (received routine obstetric care). The women, midwives, and researchers working in the gynecology and obstetric department were aware of the treatment group, but statisticians analysis the data were blinded. The primary outcome was labor pain intensity, assessed by visual analog scale (VAS) immediately after the randomization, at 30, 60, and 120 min after TENS therapy, and 2–24 h post-delivery. We used SPSS 21.0 software in data analysis. An independent sample t-test compared the mean VAS scores and labor duration between groups. A Chi-square test was employed to compare categorical variables between the groups. A significant level of ≤0.05 was statistically significant. Results A total of 326 pregnant women were eligible: experimental group (n = 161) and control group (n = 165). The experimental group had statistically significantly lower mean VAS scores at a different time (30, 60, and 120 min post-intervention and 2–24 h post-delivery) than the control group (p < 0.001). The experimental group demonstrated a statistically significant shorter duration of the active labor phase than the control group (p < 0.001). Conclusion This study indicates that TENS can be used as a non-pharmacological therapy to reduce pain and shorten the active labor phase. Trial registration ISRCTN registry, ISRCTN23857995. Registered on 11/12/2020, ‘retrospectively registered.

Upright Position During the First Stage of Labor: A Randomized Controlled Trial

2007 ◽  
Vol 62 (10) ◽  
pp. 635-636
Author(s):  
Maria Amelia Miquelutti ◽  
Jose Guilherme Cecatti ◽  
Maria Yolanda Makuch
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Upright Position ◽  
Randomized Controlled ◽  
First Stage Of Labor

A HOSPITAL ROOMING-IN UNIT FOR FOUR NEWBORN INFANTS AND THEIR MOTHERS

PEDIATRICS ◽  
1948 ◽  
Vol 1 (1) ◽  
pp. 28-43 ◽  
Author(s):  
EDITH B. JACKSON ◽  
RICHARD W. OLMSTED ◽  
ALAN FOORD ◽  
HERBERT THOMS ◽  
KATE HYDER
Keyword(s):  
Nursing Staff ◽  
Community Hospital ◽  
Newborn Infants ◽  
Newborn Baby ◽  
New Haven ◽  
Nursing Time ◽  
The Subject ◽  
The University ◽  
First Stage Of Labor ◽  
Paternal Participation

introduction Rooming-in is the term currently in use to designate the hospital arrangement whereby a mother may have her newborn baby in a crib by her bedside whenever she wishes. The term was first used by Gesell and Ilg.1 Such an arrangement was established for study purposes on the University Service of the Grace-New Haven Community Hospital in October 1946. The four-bed ward used for this purpose is known as the Rooming-In Unit. An account of development of this Unit with a few preliminary observations is the subject of this paper. Because of the enthusiastic participation of fathers in the project from the day of its inception, the authors were inclined to entitle the paper,“Rooming-In for Parents and Newborns.” The husband may be with his wife throughout the first stage of labor if mutually agreeable; under normal circumstances he may see his baby shortly after birth—even hold him; he may continue to get closely acquainted with his child day after day in the hospital, and watch his wife and the baby at nursing time if that happens to occur during visiting hours. This paternal participation has afforded obvious satisfaction to both parents which we believe is salutary for the baby. Indeed, the first major assumption in making plans for the Rooming-In Unit has been that a mother's satisfaction with herself and with the attention and care bestowed upon her (by husband, parents, members of medical and nursing staff)is the best guarantee for her inclination and ability to satisfy

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