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Effect of coached maternal pushing in primigravidae on the duration of second stage of labor / Asmaa Abdelkhalek Ebraheem Mostafa ; Supervised Mohamed Ehab Ali Salit , Ayman Ahmed Hassan , Mohammed Abdelaziz Elsharkawy

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Asmaa Abdelkhalek Ebraheem Mostafa , 2016Description: 128 P. : charts , facsimiles ; 25cmOther title:
  • تأثير الضغط الأمومى المدرّب فى الأم البكرية على طول المرحلة الثانية للحمل [Added title page title]
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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics Summary: Objective: The primary purpose of this study is to compare the effects of two different methods of care during the second stage of labor for nulliparous women (coached versus uncoached pushing) on the length of the second stage and how this may affect maternal and neonatal outcome. Background: Valsalva pushing efforts sustained for longer than 5 to 6 seconds lead to alterations in maternal and fetal hemodynamics, such as a lowering of maternal blood pressure and blood flow to the placenta, and lower apgar scores. The fetal response to valsalva bearing-down efforts has also been studied scientifically. In spontaneous pushing, there is synchrony between the woman{u2019}s respiratory and uterine function that may allow spontaneous bearing-down efforts to take advantage of the force generated by abdominal muscle action. Women who use spontaneous bearing down have been observed to wait for the contraction to build to a uterine pressure of at least 30 mm Hg before they begin pushing. Study designe: This is a prospective randomized controlled trial. Setting: The study was conducted at Kasr Elainy teaching maternity hospital for labor. Sample size: 200 Nulliparous, full term, cephalic, singleton births. Main outcome measure: Duration of the second Stage
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Item type Current library Home library Call number Copy number Status Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.15.M.Sc.2016.As.E (Browse shelf(Opens below)) Not for loan 01010110071799000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.15.M.Sc.2016.As.E (Browse shelf(Opens below)) 71799.CD Not for loan 01020110071799000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics

Objective: The primary purpose of this study is to compare the effects of two different methods of care during the second stage of labor for nulliparous women (coached versus uncoached pushing) on the length of the second stage and how this may affect maternal and neonatal outcome. Background: Valsalva pushing efforts sustained for longer than 5 to 6 seconds lead to alterations in maternal and fetal hemodynamics, such as a lowering of maternal blood pressure and blood flow to the placenta, and lower apgar scores. The fetal response to valsalva bearing-down efforts has also been studied scientifically. In spontaneous pushing, there is synchrony between the woman{u2019}s respiratory and uterine function that may allow spontaneous bearing-down efforts to take advantage of the force generated by abdominal muscle action. Women who use spontaneous bearing down have been observed to wait for the contraction to build to a uterine pressure of at least 30 mm Hg before they begin pushing. Study designe: This is a prospective randomized controlled trial. Setting: The study was conducted at Kasr Elainy teaching maternity hospital for labor. Sample size: 200 Nulliparous, full term, cephalic, singleton births. Main outcome measure: Duration of the second Stage

Issued also as CD

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