Effect of maternal bearing-down cheering on labor outcomes
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Creator Kanittha Sukchamnan, Uraiwan Khongsin, Khanittha Sanboonsong, Pawin Puapornpong, Wichian Manolertthewan
Title Effect of maternal bearing-down cheering on labor outcomes
Publisher Faculty of Medicine,Srinakharinwirot University
Publication Year 2553
Journal Title Journal of Medicine and Health Sciences
Journal Vol. 17
Journal No. 1
Page no. 22-28
Keyword coached maternal pushing, neonatal outcome, duration of the second stage of labor, Apgar score
ISSN 0859-3313
Abstract Teaching of bearing-down method and cheering during childbirth were performed in the hospitals in Thailand for many years without evidence-based of effectiveness. The aim of this study was to compare labor outcome between maternal bearing-down cheering and off-cheering. Fifty nulliparous pregnant women with low risk of complications who came to the labor room at HRH Princess Maha Chakri Sririndhorn Medical Center in Nakhon Nayok province were included in this study. They were divided into 2 groups: maternal bearing-down cheering and off-cheering, 25 cases in each group. Both groups were taught the same bearing-down method; however, only the former group was coached the rhythm of bearing-down by labor assistants. Labor outcomes including the duration of second stage of labor, neonatal birth weight and Apgar score were recorded. It was found that in maternal bearing-down cheering group, the mean of second stage of labor duration was 15.16ฑ9.91 minutes. The mean of neonatal birth weight was 3055.60ฑ57.09 grams. The means of Apgar score at 1st, 5th and 10th minutes were 8.36ฑ1.29, 9.88ฑ0.44 and 10ฑ0, respectively. In the off-cheering group, the mean of second stage of labor duration was 15.60ฑ12.70 minutes. The mean of neonatal birth weight was 3054ฑ54.54 grams. The means of Apgar score at 1st, 5th and 10th minutes were 8.56ฑ0.87, 9.88ฑ0.33 and 10ฑ0, respectively. Therefore, maternal bearing-down cheering was no significant effect on the duration of the second stage of labor and Apgar score.
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