| 000 | 02703cam a2200349 a 4500 | ||
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| 003 | EG-GiCUC | ||
| 005 | 20250223031729.0 | ||
| 008 | 170606s2016 ua dh f m 000 0 eng d | ||
| 040 |
_aEG-GiCUC _beng _cEG-GiCUC |
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| 041 | 0 | _aeng | |
| 049 | _aDeposite | ||
| 097 | _aM.Sc | ||
| 099 | _aCai01.11.15.M.Sc.2016.As.E | ||
| 100 | 0 | _aAsmaa Abdelkhalek Ebraheem Mostafa | |
| 245 | 1 | 0 |
_aEffect of coached maternal pushing in primigravidae on the duration of second stage of labor / _cAsmaa Abdelkhalek Ebraheem Mostafa ; Supervised Mohamed Ehab Ali Salit , Ayman Ahmed Hassan , Mohammed Abdelaziz Elsharkawy |
| 246 | 1 | 5 | _aتأثير الضغط الأمومى المدرّب فى الأم البكرية على طول المرحلة الثانية للحمل |
| 260 |
_aCairo : _bAsmaa Abdelkhalek Ebraheem Mostafa , _c2016 |
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| 300 |
_a128 P. : _bcharts , facsimiles ; _c25cm |
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| 502 | _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics | ||
| 520 | _aObjective: 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 | ||
| 530 | _aIssued also as CD | ||
| 653 | 4 | _aPrimigravidae | |
| 653 | 4 | _aSecond stage of labor | |
| 653 | 4 | _aValsalva pushing | |
| 700 | 0 |
_aAyman Ahmed Hassan , _eSupervisor |
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| 700 | 0 |
_aMohamed Ehab Ali Salit , _eSupervisor |
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| 700 | 0 |
_aMohammed Abdelaziz Elsharkawy , _eSupervisor |
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| 856 | _uhttp://172.23.153.220/th.pdf | ||
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_aNazla _eRevisor |
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_aSamia _eCataloger |
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_2ddc _cTH |
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_c61109 _d61109 |
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