AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Routine coached pushing may be harmful: when done in the second stage of labor, it adversely impacts bladder capacity, first urge to void, trial shows.(Obstetrics)
SAN DIEGO -- First urge to void and bladder capacity were negatively impacted by coached maternal pushing during the second stage of labor, compared with uncoached pushing, results from a randomized trial suggest.
In addition, a trend toward increased detrusor overactivity was seen in women randomized to coached pushing. Dr. Joseph Schaffer reported at the joint annual meeting of the American Urogynecologic Society and the Society of Gynecologic Surgeons.
These findings "suggest that routine coached pushing may have harmful effects and that uncoached pushing is not harmful," said Dr. Schaffer, who is chief of gynecology at the University of Texas Southwestern Medical Center at Dallas.
"Coached pushing is a modifiable obstetric practice without known maternal or fetal benefit. Strong consideration should be given to limiting coached pushing to specific indications such as prolonged second stage or nonreassuring fetal heart rate," he noted at the meeting.
For the study, which is the first of its kind, 128 nulliparous women with uncomplicated term pregnancies were randomized to coached or uncoached maternal pushing during the second stage of labor. Midwives supervised all labors. The 67 women in the coached protocol were told to take a deep breath and hold it during the peak of the contraction, then bear down and push for 10 seconds and repeat this as long as the contraction continued.
The 61 women randomized to the ...
- Study: Coached pushing shortens labor.
- News wire article from: Fort Worth Star-Telegram (Fort Worth, TX) December 30, 2005 700+ words
...possible connection between coached pushing and injury to the mother...were found to have decreased bladder capacity and overactivity of the bladder...still investigating whether coached pushing causes permanent bladder problems...
- There is little or no benefit apparent to the practice of coached pushing...
- Magazine article from: Women's Health Activist March 1, 2007 700+ words
...benefit apparent to the practice of coached pushing during the second stage of labor...analysis to determine the effect of coached pushing on delivery and infant outcomes...should be fully informed of the risk of coached pushing before labor so they can decide for...
- Studies from J.M. Chun and colleagues provide new data on renal disease.(Report)
- Newspaper article from: Blood Weekly November 13, 2008 700+ words
...stage renal disease who had a bladder capacity of less than 100 mL on preoperative...their preoperatively estimated bladder capacity using a voiding cystourethrogram. Group A had a bladder capacity of less than 100 mL (n = 23...
- Management of Primary Nocturnal Enuresis.
- Magazine article from: Urologic Nursing Klein, Nina J. April 1, 2001 700+ words
...include genetic factors, reduced bladder capacity, sleep disorders, nocturnal diuresis...bedwetting (Rogers, 1998). Reduced bladder capacity. Recent studies reveal that almost...have a normal functioning bladder and bladder capacity (Sorenson, Rittig & Djurhuus...
- Management of bedwetting: despite the fact that bedwetting affects more than...
- Magazine article from: Practice Nurse Rogers, June July 5, 2002 700+ words
...BLADDER INSTABILITY/ LOW FUNCTIONAL BLADDER CAPACITY * Sense of urgency * Frequent daytime...volume voided--and enable functional bladder capacity (FBC) to be estimated, whether...The child's daytime functional bladder capacity (this can be measured by asking the...
- Enuresis. (Featured CME Topic: Urinary Incontinence).
- Magazine article from: Southern Medical Journal Cossio, Sissi E. February 1, 2002 700+ words
...there is a gradual enlargement of the bladder capacity (an increase of 400% during the...usually found. Decreased functional bladder capacity has also been implicated in the etiology...nocturnal enuresis. The estimated normal bladder capacity in ounces is equal to the child...
- Bladder management in acute care of stroke patients: a quality improvement...
- Magazine article from: Journal of Neuroscience Nursing Chan, Harriet June 1, 1997 700+ words
...strong urge' to void frequently Low bladder capacity, 100-200 ml No or little urine...5 Intact detrusor function Normal bladder capacity, 300-400 ml Patient has complete...voiding day and night. Has normal bladder capacity and voiding pattern. Has no or little...
- Childhood bedwetting:.
- Magazine article from: Practice Nurse October 14, 2005 700+ words
...from sleep and the balance between bladder capacity and urine production-- whether production...overactivity/low voided volume -- expected bladder capacity Studies have suggested that 30-32...also likely to have a small expected bladder capacity at the point of wetting. They will...
- Another consequence of sleep disordered breathing?(SLEEP MEDICINE)
- Magazine article from: FOCUS: Journal for Respiratory Care & Sleep Medicine Sorenson, Patrick May 1, 2006 700+ words
...nocturnal continence. Since functional bladder capacity increases with age, persistent nocturnal...child is 4 years old, functional bladder capacity should reach between 300 to 360 ml...to develop an adequate functional bladder capacity. Maturation also has an effect on...
- Subthalamic stimulation and urinary function.(Abstract & Commentary)
- Newspaper article from: Neurology Alert February 1, 2004 700+ words
...reflexia, resulting in a reduced bladder capacity and early desire to void. Seif et...measured desire to void, maximum bladder capacity, detrusor pressure, and urine flow...initial desire to void occurred at a bladder capacity of 135 mL, while in the on stimulation...
Source: HighBeam Research, Routine coached pushing may be harmful: when done in the second stage...