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Instructing a woman to push in labor and telling her when and how apparent has very little benefit despite widespread use. ... Bloom et al, "A randomized trial of coached versus uncoached maternal pushing during the second stage of labor," American Journal of Obstetrics and Gynecology, January 2006...
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pregnancy.about.com/od/laborbasics/a/coachedpushing.htm
pregnancy.about.com/od/laborbasics/a/coachedpushing.htm
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Spontaneous pushing during labor is something that is encouraged by both midwives and the latest medical studies. Learn more at iVillage.com ... When Should I Push During Labor — and How Hard? ... If a mother has had an epidural and is not allowed to "labor down" until she feels the urge to push, coached pushing may be necessary.
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parenting.ivillage.com/pregnancy/plabor/0,,midwife_99j0...
parenting.ivillage.com/pregnancy/plabor/0,,midwife_99j07c5w,00.html
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Spontaneous pushing during labor is something that is encouraged by both midwives and the latest medical studies. Learn more at iVillage.com ... Joyce Roberts, who has extensively studied the second stage of labor, proposes that the pushing stage of labor, ... When Should I Push During Labor — and How Hard?
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parenting.ivillage.com/pregnancy/plabor/0,,midwife_99j0...
parenting.ivillage.com/pregnancy/plabor/0,,midwife_99j07c5w-2,00.html
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It is very practical in that it is easy to move from active pushing during a contraction, ... Specifically keep this position in mind if you suspect a posterior presentation during your labor, because this position might just encourage the baby to turn around. This position may also relieve some of the pain of back labor,
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www.childbirthsolutions.com/articles/birth/pushingposit...
www.childbirthsolutions.com/articles/birth/pushingpositions/index.php
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Synopsis: The benefit of the routine practice of coaching to push during the second stage of labor is debated. In this study, 325 women with uncomplicated term pregnancies in spontaneous active labor for the first time were randomized to coached pushing or uncoached pushing during the second stage of labor.
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www.aafp.org/afp/20060515/tips/13.html
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The investigators randomized nulliparous women with uncomplicated term pregnancies who presented to the hospital in spontaneous active labor to receive either coached pushing during the second stage of labor or to push without coaching. ... Less Pelvic Floor Damage Associated With Uncoached Than Coached Pushing During Labor...
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www.medscape.com/viewarticle/484738
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BACKGROUND: Although there are two methods of caring for women with epidural anesthesia during second-stage labor (coached closed-glottis pushing immediately at 10-cm cervical dilation or delayed pushing until the woman feels the urge to push, passive fetal descent, and encouragement of open-glottis pushing when the woman ...
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www.medscape.com/medline/abstract/15897790
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Simpson KR, James DC. Effects of immediate versus delayed pushing during second-stage labor on fetal well-being: A randomized clinical trial. Nursing Research. 2005;54(3):149-157. ... This article describes a study whose objective was to evaluate effects on fetal well-being, as measured by fetal ... View article abstract...
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www.ihi.org/IHI/Topics/PerinatalCare/PerinatalCareGener...
www.ihi.org/IHI/Topics/PerinatalCare/PerinatalCareGeneral/Literature/EffectsofimmediateversusdelayedpushingduringsecondstagelaboronfetalwellbeingArandomizedclinicaltrial.htm
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This is an important study for nurses who work with laboring patients to read, because it deals with the effects of two different methods of nursing care on fetal oxygen saturation during the second stage of labor. ... More women in the immediate pushing group had perineal lacerations, however. Labor and delivery nurses can...
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cms.nursingcenter.com/dev/library/JournalArticle.asp?Ar...
cms.nursingcenter.com/dev/library/JournalArticle.asp?Article_ID=750808
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