Effect of Prenatal Yoga on Duration of the First Stage of Labor and Perineal Rupture in Primigravida Mothers

In primigravidas, the first stage of labor has a longer duration than multiparous. The first stage of labor in primiparous is around 13-14 hours, while in multiparous it is about 7 hours. Prolonged labor is one of the causes of maternal death. Yoga in pregnancy can maintain elasticity and strength of the ligaments of the pelvis, hips, and leg muscles, so that it can reduce pain during labor and provide space for the birth canal. The comparative analytical research method used pre-experimental design with the one shot case study design. With a sample of 26 trimesters III primigravida pregnant women who were divided into 2 groups, namely n = 13 groups who did prenatal yoga, and n = 13 groups who did not do prenatal yoga. The analysis of this research was univariate and bivariate using the Mann Whitney test. Assessment is carried out during the delivery process. As a result, the intervention and control groups with active phase I labor duration obtained p = 0.000, and perineal rupture p = 0.000. There was a significant difference in the length of the first stage of labor and perineal rupture between the yoga group and the non-yoga group. Prenatal yoga affects the duration of the first stage of labor and perineal rupture.

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Effect of Ambulation during First Stage of Labor on Labor Pain and Outcome of Labor among the Primigravida Mothers in a Selected Hospital, Mangalore

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1207 ◽

2013 ◽

Vol 5 (1) ◽

pp. 1-3

Author(s):

V Savitha ◽

Sabitha Nayak ◽

Shynee Paul

Keyword(s):

Demographic Variables ◽

Labor Pain ◽

Normal Vaginal Delivery ◽

Control Group ◽

Control Groups ◽

Significant Difference ◽

The Mean ◽

And Control ◽

Experimental Group ◽

First Stage Of Labor

ABSTRACT Objectives • To assess the intensity of labor pain and outcome of labor among the control group. • To assess the effectiveness of ambulation on intensity of labor pain and outcome of labor among the experimental group. • To assess the usefulness of ambulation by opinionnaire among experimental group. • To compare the effectiveness of ambulation on the intensity of labor pain and outcome of labor among experimental and control groups. • To find an association between the intensity of labor pain with selected demographic variables. Materials and methods An experimental research approach was used for the study. Random sampling technique was used to allocate the subjects into experimental and control groups. Visual analog scale was used to assess the intensity of pain and observational check list was used to assess the outcome of labor. The study comprised of 40 primigravida mothers and they were grouped as experimental and control through randomization. One group received ambulation treatment, the other did not. The researcher then observed the groups to determine the effect of the treatment. Results The collected data was analyzed by descriptive and inferential statistics. The intensity of pain revealed that 40% in the experimental and 55% in the control groups experienced severe pain. The labor augmentation revealed that both oxytocin and cerviprime gel was used for 30% in the experimental and 35% in the control groups. On the mode of delivery, majority of mothers (60%) had normal vaginal delivery both in experimental and control groups. On the duration of the first stage of labor revealed that 50% in the experimental and 20% in the control groups were between 10 to 12 hours. Second stage of labor revealed that majority were between 1 and 2 hours in both the control and experimental groups. The opinion of experimental group mothers on ambulation revealed that half of the mothers (50%) agreed for recommending the ambulation for their neighbors and friends and less than half (35%) of them have agreed for comfort during first stage of labor and 40% of them have agreed for ambulation should be made as a routine in labor room. In the experimental group, mean pain score (6.8) is less than the control group (7.5). The calculated Mann-Whitney Z-value (2.045) is greater than the Z α-value of 1.960 at 0.05 level of significance. In the experimental group, the mean duration of first stage of labor score (3.95) is significantly higher than the control group mean score (3.00). The mean outcome of labor in experimental group (13.95) is greater than the control group. Conclusion There was a significant difference in the duration of first stage of labor between the experimental and control groups. But, there was no significant difference in the overall outcome of labor between experimental and control groups. There was no significant association between intensity of labor pain with selected demographic variables. This may be because of small sample size. How to cite this article Savitha V, Nayak S, Paul S. Effect of Ambulation during First Stage of Labor on Labor Pain and Outcome of Labor among the Primigravida Mothers in a Selected Hospital, Mangalore. J South Asian Feder Obst Gynae 2013;5(1):1-3.

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EFFECT OF ACUPRESSURE THERAPY POINT LI 4, SP 6, AND BL 60 ON DURATION OF THE FIRST STAGE OF LABOR IN PRIMIGRAVIDA AND NEWBORN’S APGAR SCORE

Belitung Nursing Journal ◽

10.33546/bnj.294 ◽

2017 ◽

Vol 3 (6) ◽

pp. 697-701

Author(s):

Fara Imelda Theresia Patty ◽

Suhartono Suhartono ◽

Ngadiyono Ngadiyono ◽

Mardiyono Mardiyono

Keyword(s):

Public Health ◽

Health Center ◽

Apgar Score ◽

Control Group ◽

P Value ◽

Whitney Test ◽

Mann Whitney Test ◽

Significant Difference ◽

And Control ◽

First Stage Of Labor

Background: The prolonged partus is one of the causes of maternal deaths marked by the slow progress of labor. Induction of labor and caesarean section is a common procedure performed on long-term partus events to end pregnancy. The birth acupressure technique is a complementary method to activate the hormone oxytocin at a certain point to use to soften the cervix and increase contraction.Objective: To examine the effect of acupressure point LI4, SP6 and BL60 on the duration of the first stage of labor and APGAR Score of newborn in primigravida.Methods: This research employed a Quasy experimental study with posttest control group design. It was conducted at the Public Health Center of Trauma and Public Health Center of Palaran Samarinda, East Kalimantan. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in the experiment and control group. The duration of the first stage of labor was assessed using partograph and APGAR Score was assessed using APGAR Score assessment sheets. Mann Whitney test was used for data analysisResults: Findings showed that the duration of the first stage of labor in the experiment group was 187 minutes and in the control group was 307 minutes. Mann Whitney test obtained p-value 0.001 (<0.05), which indicated that there was a statistically significant difference of the duration of the first stage of labor between both groups. However, Mann Whitney test for APGAR score showed p-value 0.114 (>0.05), which indicated that there was no significant difference of APGAR score in the experiment and control group.Conclusion: There was a significant effect of acupressure on the duration of the first stage of labor, but no effect of the APGAR score. Therefore, acupressure may be recommended to shorten the duration of the first stage of delivery in primigravida.

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Effect of short- and long-acting growth promotants on grazing beef cattle in south-west Queensland.

The Rangeland Journal ◽

10.1071/rj9880030 ◽

1988 ◽

Vol 10 (1) ◽

pp. 30 ◽

Cited By ~ 1

Author(s):

MR Clarke ◽

JR Wythes

Keyword(s):

Beef Cattle ◽

Control Group ◽

Control Groups ◽

Short Acting ◽

South West ◽

Significant Difference ◽

The One ◽

Long Acting ◽

Growth Promotants ◽

And Control

The effects of a single implantation of a short-acting (< 120 days) growth promotant - 36 mg zeranol (Ralgro) - were studied with one, two and three year old steers grazing Mitchell (Astrebla spp.) grasslands from March to June 1981 (107 days) in south-west Queensland. Implantation increased (P<0.05) mean final liveweight by 9.7, 18.1 and 11.0 kg for the one, two and three year old steers, respectively (control groups 317.6 kg, 432.3 kg and 519.1 kg). Tn a second experiment, the effects of a single implantation of a long-acting (400 days) growth promotant - 45 mg oestradiol 17 beta (Compudose 400) - were studied with steers grazing Channel pastures from October 1983 to April 1985 (540 days) in far south-west Queensland. Implantation increased (P<0.01) both mean final liveweight by 30.7 kg (control group 577.1 kg) and carcass weight by 14.2 kg (control 306.4 kg). Daily liveweight gains for implanted and control steers were 0.48 kg and 0.43 kg per day respectively @<0.01). There was no significant difference between the implanted and control steers in dressing percentage (52.7 cf. 53.2%) and fat ;hicknes.s at the P8 rump sGe (20.2 cf. 18.9 mm).

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The pilot study of radiology nursing intervention in abdominal 3-T Magnetic Resonance examination

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420160000700012 ◽

2016 ◽

Vol 50 (6) ◽

pp. 961-964 ◽

Cited By ~ 2

Author(s):

Gui-qing Dong ◽

◽

Wen-wen Wang ◽

Kai Deng ◽

Guang-li Wang ◽

...

Keyword(s):

Image Quality ◽

Intervention Group ◽

Nursing Intervention ◽

Control Group ◽

Nursing Interventions ◽

Success Rates ◽

Significant Difference ◽

Abdominal Examination ◽

The One ◽

And Control

Abstract OBJECTIVE The aim of this study was to investigate the effect of radiology nursing intervention in abdominal examination at 3-T MRI. METHOD 60 patients with abdominal diseases were divided into two groups randomly: MR nursing intervention group and control group. All the patients underwent abdominal MR examination at 3-T. The MR nursing interventions were performed in nursing intervention group. The outcomes, including one-time success rate, the ratio of diagnosable MR images and the points of image quality, were compared between these two groups. RESULTS The one-time success rates in control group and MR nursing intervention group were 66.67% and 96.67% with significant difference ( χ2 =9.017, P<0.05). The ratios of diagnosable images in the two groups were 76.67% and 96.67% with significant difference (χ2 =5.192, P<0.05). The points of MR image quality in the two groups were 1.87±0.86 and 2.33±0.55, respectively. There was significant difference between these two groups (t=-2.508, P<0.05). CONCLUSION The effective nursing intervention can make the patients cooperation better in abdominal MR examination and improve the image quality significantly.

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The effect of distraction techniques on pain and stress during labor: a randomized controlled clinical trial

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2683-y ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Paria Amiri ◽

Mojgan Mirghafourvand ◽

Khalil Esmaeilpour ◽

Mahin Kamalifard ◽

Reyhaneh Ivanbagha

Keyword(s):

Intervention Group ◽

Active Phase ◽

Labor Pain ◽

Control Group ◽

Controlled Clinical Trial ◽

Fear Of Childbirth ◽

Control Groups ◽

Significant Difference ◽

The Mean ◽

And Control

Abstract Background Pain control and the stress associated with labor and delivery are among the most important issues of health care system. Use of distraction techniques during childbirth is reported to reduce pain and stress of labor. However, there is a limited publication that looked on the effect of distraction techniques on labor pain and stress. Thus, the aim of this study was to determine the effect of distraction techniques on labor pain and stress (primary outcomes), fear of childbirth, length of delivery stages, first minute Apgar score and oxytocin consumption (secondary outcomes). Methods A randomized controlled clinical trial was conducted on 68 pregnant women. Participants were allocated into two groups (intervention and control groups) by blocked randomization. Participants in the intervention group received distraction techniques in four sessions. Questionnaires of Fear of Childbirth (W-DEQ version A) and PSS once were completed before intervention and again at the 36th week for the W-DEQ and in the active phase for the PSS through interviews. The pain was assessed through VAS during active phase per hour. The length of delivery stages was recorded in the partograph chart. Data were analyzed by independent t-test and ANCOVA. Results The mean of perceived stress during labor in the intervention group was significantly less than that of the control group (AMD: -3.2; 95% CI: − 0.8 to − 6.0; P = 0.01). The mean (SD) of pain intensity during labor was less than in the intervention and control groups compare to the control group (6.2 vs 7.5; P < 0.001). There was no significant difference between the two groups in terms of fear of childbirth score (AMD: 5.3; 95% CI: 13.0 to − 6.0; P = − 2.3). Moreover, there was no statistically significant difference between the two groups in terms of the active phase of labor (P = 0.504), second stage of delivery (P = 0.928), total length of delivery (P = 0.520), Apgar score (P = 1.000) and frequency of oxytocin consumption (P = 0.622). Conclusion According to the results, distraction techniques can reduce the pain and stress of labor, but further studies by using the distraction techniques are needed to reach a decisive conclusion. Trial registration IRCT2017042910324N39; Name of registry: Iranian Registry of Clinical Trials; Registered 11 September 2017. URL of registry: https://fa.irct.ir/user/trial/10814/view. Date of enrolment of the first participant to the trial: September 2017.

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Yoga Intervention as a Potential Countermeasure for Polar T3 Syndrome

Defence Life Science Journal ◽

10.14429/dlsj.4.14275 ◽

2019 ◽

Vol 4 (3) ◽

pp. 163-169

Author(s):

Mohit Nirwan ◽

K J Jyothish ◽

Kaushik Halder ◽

Sutanu Chakraborty ◽

M Saha ◽

...

Keyword(s):

Thyroid Stimulating Hormone ◽

Controlled Study ◽

Control Group ◽

Yoga Group ◽

Significant Difference ◽

Common Ailment ◽

Total Triiodothyronine ◽

Total Thyroxine ◽

Randomised Controlled ◽

And Control

Polar T3 syndrome is a common ailment for polar sojourners. It is characterised by abnormal fluctuations of thyroid hormones during extended polar winter. A randomised controlled study was conducted on 14 winter expedition members of Indian Scientific Expedition (2016) to Antarctica by introducing customised yoga module. Blood samples were collected during January to October, 2016 at different intervals for the estimation of total thyroxine (TT4), total triiodothyronine (TT3), thyroid stimulating hormone and noradrenaline (NA) by ELISA. In October yoga group showed significant (p = 0.04) higher TT3 values (2.1 ng/ml ± 0.9; mean ± SD) as compared to the control (0.7 ng/ml ± 0.6). In October a significant difference (p=0.0085) was observed between yoga and control group for NA values (47.0 pg/ml ± 22.0 and 107 pg/ml ± 46.0). Thyroid response of control group at the end of the study revealed presence of polar T3 syndrome in control group. Results indicate that regular yoga practice helped mitigating polar T3 syndrome

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Comparing the Effects of Acupressure at the Hugo Point and Hyoscine on the Duration of Labor Stages and Fetalneonatal Outcomes in Nulliparous Women: A Controlled Randomized Clinical Trial

International Journal of Women s Health and Reproduction Sciences ◽

10.15296/ijwhr.2019.64 ◽

2018 ◽

Vol 7 (3) ◽

pp. 393-399

Author(s):

Solmaz Babazadeh Topraghlou ◽

Fahimeh Sehhatie Shafaie ◽

Mojgan Mirghafourvand ◽

Narges Salehi

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Active Phase ◽

Control Groups ◽

Chi Square ◽

Second Stage Of Labor ◽

Nulliparous Women ◽

Prolonged Labor ◽

The Mean ◽

And Control

Objectives: The shortened duration of labor without creating major complications is considered ideal for the mother and infant while prolonged labor is accompanied by maternal and fetal consequences. Considering its importance, the purpose of this study was to compare the effects of acupressure at the Hugo point and hyoscine on the duration of labor stages and fetal-neonatal outcomes in nulliparous women. Methods: This controlled randomized clinical trial was conducted on 162 nulliparous women who referred to Ardabil Sabalan Hospital in 2017. Participants were divided into Hugo acupressure, hyoscine, and control groups by means of randomized blocks, each containing 54 nulliparous women. In the Hugo group, the pressure exerted on the Hugo point at 5 cm dilatation and in the hyoscine group, the hyoscine was injected intramuscularly at 5 cm dilatation. Data were analyzed using one-way ANOVA, KruskalWallis, Fisher exact, and chi-square tests. Results: The mean (SD) duration of the active phase of labor was 137.0 (15.1), 143.3 (172), and 187.7 (24.7) minutes in the Hugo, hyoscine, and control groups, respectively. In addition, the mean (SD) duration of the second stage of labor in the above-mentioned groups was 39.5 (8.5), 52.4 (15.0), and 58.3 (8.7) minutes, respectively (P<0.001). Conclusions: Overall, the implementation of acupressure at the Hugo point led to a greater reduction in the duration of labor stages compared to hyoscine infusion without imposing the side-effects on mother.

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Do Breathing Techniques Enhance the Effect of Massage Therapy in Reducing the Length of Labor or not? a Randomized Clinical Trial

Journal of Caring Sciences ◽

10.15171/jcs.2019.036 ◽

2019 ◽

Vol 8 (4) ◽

pp. 257-263

Author(s):

Arezoo Haseli ◽

Ashraf Ghiasi ◽

Mozhgan Hashemzadeh

Keyword(s):

Block Design ◽

Active Phase ◽

Control Group ◽

Control Groups ◽

Breathing Exercises ◽

Randomized Block Design ◽

Breathing Techniques ◽

Significant Difference ◽

Abdominal Massage ◽

And Control

Introduction: Prolonged labor is a common birth complication that is associated with some negative maternal and fetal effects. The aims of this study were 1) to evaluate the effect of effleurage abdominal massage and 2) to assess the effects size of breathing techniques with massage on the length of labor. Methods: This study was a randomized trial with concealed allocation, assessor blinding for some outcomes and intent-to-treat analysis. Primiparous women (n=117) age 18-35 years who were randomly assigned to three groups; abdominal massage (n=37), abdominal massage with breathing technique (n=38) and control (n=42). Although it was randomized block design with the allocation ratio 1:1:1 but soon after the sample was withdrawn in labor, another was replaced. Experimental groups’ participants received a 30-min effleurage abdominal massage during the active and transitional phases of labor. Particular breathing techniques in each stage of labor were done. Data were analyzed using SPSS ver.13. Results: Duration of the active phase was 244.89(83.30) min in the massage, 254(68.55) min in massage with breathing and 312.07(67.17) min in control group, which was significantly different between the massage and control groups (P<0.001, Min Diff; -67.18), as well as massage with breathing and control groups (P=0.003, Min Diff; -9.63). The Scheffe test showed no significant difference between the two experimental groups. Conclusion: Effleurage abdominal massages decrease length of active phase on labor, but the learning of breathing techniques in labor couldn’t enhance this effect of massage, so it is likely that breathing exercises may be considered during pregnancy.

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Effect of Simplifed Kundalini Yoga and Pranayama Practices on Selected Psychological Variables and Academic Performance of Secondary School Boys

Shanlax International Journal of Education ◽

10.34293/education.v8i3.2311 ◽

2020 ◽

Vol 8 (3) ◽

pp. 108-113

Author(s):

M Yuvaraj

Keyword(s):

Academic Performance ◽

Training Period ◽

Control Group ◽

Psychological Variables ◽

Kundalini Yoga ◽

Group I ◽

Yoga Group ◽

Significant Difference ◽

And Control ◽

Experimental Group

The study was undertaken to find out the effect of simplified Kundalini yoga and pranayama on academic performance and selected psychological variables among school boys on aggression. To achieve the purpose of the study 45 students studying various Higher Secondary Schools, at Erode District were selected as subjects. The age of the subjects ranged from 14 to 16 years. The subjects were divided into three groups of fifteen each (n=15) randomly. Experimental Group I underwent simplified Kundalini yoga, Experimental Group II underwent Pranayama and Group III is Control group were kept under active rest.The training period is for three days per week for eight weeks in addition to school curriculum.All the subjects were tested on selected criterion variables prior and immediately after the training period. The result of the study that there is a significant difference in the adjusted post-test means of simplified Kundalini yoga group and pranayama practise group and control group it was identified that simplified yoga group is better than pranayama group and control group in improving explosive strength.

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The Effect of Distraction Techniques on Pain and Stress during Labor: A Randomized Controlled Clinical Trial

10.21203/rs.2.13303/v2 ◽

2019 ◽

Author(s):

Paria Amiri ◽

Mojgan Mirghafourvand ◽

Khalil Esmaeilpour ◽

Mahin Kamalifard ◽

Reyhaneh Ivanbagha

Keyword(s):

Intervention Group ◽

Active Phase ◽

Labor Pain ◽

Control Group ◽

Controlled Clinical Trial ◽

Fear Of Childbirth ◽

Control Groups ◽

Significant Difference ◽

The Mean ◽

And Control

Abstract Background: Pain control and the stress associated with labor and delivery are among the most important issues of health care system. Use of distraction techniques during childbirth is reported to reduce pain and stress of labor. However, there is a limited publication that looked on the effect of distraction techniques on labor pain and stress. Thus, the aim of this study was to determine the effect of distraction techniques on labor pain and stress (primary outcomes), fear of childbirth, length of delivery stages, first minute Apgar score and oxytocin consumption (secondary outcomes). Methods: A randomized controlled clinical trial was conducted on 68 pregnant women. Participants were allocated into two groups (intervention and control groups) by blocked randomization. Participants in the intervention group received distraction techniques in four sessions. Questionnaires of Fear of Childbirth (W-DEQ version A) and PSS once were completed before intervention and again at the 36th week for the W-DEQ and in the active phase for the PSS through interviews. The pain was assessed through VAS during active phase per hour. The length of delivery stages was recorded in the partograph chart. Data were analyzed by independent t-test and ANCOVA . Results: The mean of perceived stress during labor in the intervention group was significantly less than that of the control group (AMD: -3.2; 95% CI: -0.8 to -6.0; P= 0.01). The mean (SD) of pain intensity during labor was less than in the intervention and control groups compare to the control group (6.2 vs 7.5; P<0.001). There was no significant difference between the two groups in terms of fear of childbirth score (AMD: 5.3; 95% CI: 13.0 to -6.0; P= -2.3). Moreover, there was no statistically significant difference between the two groups in terms of the active phase of labor (P= 0.504), second stage of delivery (P= 0.928), total length of delivery (P= 0.520), Apgar score (P= 1.000) and frequency of oxytocin consumption (P= 0.622). Conclusion: According to the results, distraction techniques can reduce the pain and stress of labor, but further studies by using the distraction techniques are needed to reach a decisive conclusion .

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