The Effect of the Breathing Technique With and Without Aromatherapy on the Length of the Active Phase and Second Stage of Labor

2013 ◽  
Vol 1 (3) ◽  
pp. 115-9 ◽  
Author(s):  
Katayon Vakilian ◽  
Afsaneh Keramat
Keyword(s):  
Active Phase ◽  
Second Stage Of Labor ◽  
Second Stage

The Effects of an External Nasal Dilator on Labor

2005 ◽  
Vol 19 (2) ◽  
pp. 221-224 ◽  
Author(s):  
Oscar Sadan ◽  
Sagit Shushan ◽  
Ido Eldar ◽  
Shmuel Evron ◽  
Samuel Lurie ◽  
...  
Keyword(s):  
Active Phase ◽  
Well Being ◽  
Control Group ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Satisfaction Rate ◽  
Several Variables ◽  
Active Labor ◽  
Meconium Stained Amniotic Fluid

Background The aim of this study was to assess the effect of an external nasal dilator on several variables characterizing labor in both mother and fetus. Methods One hundred and fifty primigravida women in active labor were randomized to wear, throughout labor, either a dilator spring-loaded nasal strip or a placebo device. Data were obtained during labor and compared between the groups. After delivery, the satisfaction rate was assessed. Results No differences were found between the study and the control group regarding rate of induction or augmentation of labor as well as Montevideo units reached, frequency of rupture of membranes, duration of the active phase and second stage of labor, usage of epidural analgesia, normal fetal heart pattern, meconium-stained amniotic fluid, and neonatal well being. Length of maternal and neonatal hospitalization also did not differ between the groups. Satisfaction rate was significantly higher in parturient women wearing nasal strips with a dilator spring than in parturient women wearing a placebo spring (P < 0.0001). Conclusion Nasal strips do not change the course but ameliorate the quality of labor by improving the ease of breathing. Nasal dilators sustain the respiratory effort associated with the long process of labor and may control the switch from nasal to oronasal breathing during delivery.

scholarly journals Is duration of passive second stage associated with a risk of hysterotomy extension during cesarean?

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258049
Author(s):  
Jade Merrer ◽  
Clara Dreyfus ◽  
Aude Girault ◽  
François Goffinet ◽  
Camille Le Ray
Keyword(s):  
Postpartum Hemorrhage ◽  
Operative Time ◽  
Active Phase ◽  
Maternal Complications ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Factors Associated ◽  
Second Stage ◽  
Tertiary Center ◽  
Passive Phase

Objective To assess obstetric factors associated with hysterotomy extension among women undergoing a second-stage cesarean. Study design This 5-year retrospective cohort study (2013–2017) included all women with second-stage cesarean deliveries of live-born singleton fetuses in cephalic presentation at term. It took place at a tertiary center that practices delayed pushing. We performed univariable and multivariable logistic regression to assess the maternal, obstetric, and neonatal factors associated with hysterotomy extension mentioned in the surgical report. Operative time, postpartum hemorrhage, and maternal complications were also studied. Results Of the 3350 intrapartum cesareans, 2637 were performed at term for singleton fetuses in cephalic presentation: 747 (28.3%) during the second stage of labor, 83 (11.1%) of which were complicated by a hysterotomy extension. The median duration of the passive phase of the second stage did not differ between women with and without an extension (164 min versus 160 min, P = 0.85). No other second-stage obstetric characteristics, i.e., duration of the active phase, fetal head station, or fetal malposition, were associated with the risk of extension. Factors significantly associated with extension were the surgeon’s experience and forceps use during the cesarean. Women with an extension, compared to women without one, had a longer median operative time (49 min versus 32 min, P<0.001) and higher rates of postpartum hemorrhage and blood transfusion (respectively, 30.1% versus 15.1%, p = 0.002 and 7.2% versus 2.4%, P = 0.03). Conclusion The risk of a hysterotomy extension does not appear to be associated with second-stage obstetric characteristics, including the duration of the passive phase of this stage. In our center, which practices delayed pushing, prolonging this passive phase beyond 2 hours does not increase the risk of hysterotomy extension in second-stage cesareans.

scholarly journals Intramuscular meperidine analgesia at the beginning of active phase shortens labor duration without adverse effects on obstetric lacerations

2021 ◽  
Vol 38 (4) ◽  
pp. 594-598
Author(s):  
Mehmet GÜÇLÜ ◽  
Nazan YURTÇU ◽  
Samettin ÇELİK ◽  
Canan Soyer ÇALIŞKAN ◽  
Şafak HATIRNAZ ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Active Phase ◽  
Adverse Outcomes ◽  
Neonatal Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Obstetric Lacerations ◽  
Increased Risk ◽  
The Impact ◽  
First Stage Of Labor

The primary objectives of this study were to evaluate the impact of intramuscular meperidine on shortening of the active phase of labor, the neonatal outcome and the rate and severity of perineal lacerations in term pregnant women in the first stage of labor. A total of 571 primiparous term pregnant women delivered vaginally were included into this retrospective study. In 437 of them, meperidine (100 mg IM) at the beginning of the active phase was administered and 134 women did not receive any meperidine dose. The length of labor phases, obstetric lacerations, and neonatal outcomes were recorded. The results of this study showed that meperidine could be used safely as an obstetric analgesic with its additional benefit of shortening the active phase of the first stage and second stage of labor without increased risk of obstetric lacerations and perinatal adverse outcomes. In case of limited use of neuraxial analgesia in a busy state maternity hospital, intramuscular meperidine administration as obstetric analgesia seems beneficial in reducing the length of the active phase of the first stage of labor and the second stage of labor without adversely affecting obstetric lacerations and neonatal outcomes.

scholarly journals HUBUNGAN FREKUENSI SENAM YOGA DENGAN LAMA PERSALINAN KALA I FASE AKTIF

2018 ◽  
Vol 10 (02) ◽  
pp. 193
Author(s):  
Rima Pujianti Pujianti ◽  
Dwi Anita Apriastuti ◽  
Ardiani Sulistiani
Keyword(s):  
Active Phase ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Second Stage Of Labor ◽  
Birth Canal ◽  
Second Stage ◽  
Exercise Routine ◽  
Chi Square Test ◽  
Prolonged Labor

Rima Pujianti 1), Dwi Anita Apriastuti2), Ardiani Sulistiani3)1) , 2), 3)Prodi D3 Kebidanan STIKES Estu Utomo BoyolaliE-mail: [email protected] ABSTRAKLatar Belakang Angka Kematian Ibu (AKI) di Indonesia pada Tahun 2012 meningkat yaitu 359/100.000 kelahiran hidup.Salah satu penyebab kematian  ibu diantaranya adalah partus lama. Adapun salah satu penyebab terjadinya partus lama adalah ketidak seimbangan antara kekuatandalam mengejan dan his yang tidak adekuat.Dapat pula disebabkan karena faktor janin dan jalan lahir seperti malpresentasi atau malposisi janin, dan janin terlalu besar. Jalan lahir akan lentur pada perempuan yang rajin melakukan olahraga. Salah satu olah raga yang dapat dilakukan ibu hamil adalah senam yoga. Tujuan : mengetahui hubungan senam yoga dengan lama persalinan kala I fase aktif. Metode : Penelitian ini menggunakan rancangan penelitian deskriptif korelasional dengan pendekatan cross-sectional. Populasi dalam penelitian ini ibu bersalin normal di Aura Cantika pada bulan April - Mei 2014, dengan teknik accidental sampling diperoleh sampel 30. Analisa data dengan menggunakan uji statistik chi square. Hasil penelitian menunjukan dari 15 responden yang rutin melakukan senam yoga, 14 responden diantaranya (46.7%) lama persalinannya cepat, sedangkan dari 15 responden yang tidak rutin melakukan senam yoga, didapatkan 11 responden (36,7 %) mengalami persalinan cepat. Hasil uji chi square dengan SPSS 16.0 nilai p value = 0,032 yang menunjukkan ada hubungan yang bermakna antara senam yoga dengan lama persalinan kala I fase aktif. Kesimpulan : Dari penelitian ini dapat disimpulkan bahwa ada hubungan antara senam yoga dengan lama  persalinan kala I fase aktifKata Kunci :Senam yoga, lama persalinan kala I fase aktif.YOGA EXERCISES INFLUENCEON THE OHASE 1 STAGE OF LABOR LONGER ACTIVE ON MATERNATALABSTRACTBackground : maternal mortality rate in indonesia in 2012 live births increased that is 359/100.000 .one of the causes of marenal mortality include prolonged labor. As for one of the causesof prolonged labor is imbalance between the push and his strength is inadequate.can also be caused by factors such as the fetus and birth canal malpresentation or malposition, and the fetus is too large. Birth canal will be flexible in women who exercise diligently. One sport do pregnant women is yoga exercises. Research purposes : knowing the relationshif between yoga gymnesties and the longth of labor during the active phase. Research methods : A descriptive correlational study using cross-sectional approach. The population of this research is all normal maternal aura cantika in april-may 2014, with accidental sampling techniques samples obtained 30, sample taken with purposive sampling techniques and analyzed using chi square test statistic. Research result : Showed that of the 15 respondents, 14 respondents (46.7%) doing yoga exercise routine, long second stage of labor more quickly. Respondents who did not yoga exercise routine was 15 respondents ,11 respondents( 36,7 % )  long second stage of labor more quickly. The result of the chi square test with SPSS 16.0 p value = 0.032 showed that there was a significant relationship between yoga gymnastics and the length of labor during the active phase I. Knot : from this study it can be concluded that there is a relationship between yoga gymnastics and the length of labor during the active phase.Keyword : yoga exercise, duration of labor 1 when the active phase.

Second stage of labor in the age of epidural anesthesia

1998 ◽  
Vol 5 (1) ◽  
pp. 171A-171A
Author(s):  
E XENAKIS ◽  
J PIPER ◽  
M MCFARLAND ◽  
C SUITER ◽  
O LANGER
Keyword(s):  
Epidural Anesthesia ◽  
Second Stage Of Labor ◽  
Second Stage

Translabial ultrasound in the second stage of labor

Choonpa Igaku ◽  
2016 ◽  
Vol 43 (3) ◽  
pp. 457-465
Author(s):  
Koichi KOBAYASHI ◽  
Miki GOTO ◽  
Ken SAKAMAKI
Keyword(s):  
Translabial Ultrasound ◽  
Second Stage Of Labor ◽  
Second Stage
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