Spontaneous pushing versus Instructed pushing

Spontaneous pushing versus Instructed pushing






The guidelines supporting spontaneous pushing versus delayed pushing were stipulated by NICE in 2007. This came up as one of the several strategies put in place to ensure that labor is a transition process that doesn’t lead to complications more complications in the mothers than there should be. Vaginal and perineal tears at large commonly occur during delivery because of the forces brought about in the process of delivery. It had previously been documented that 18% of the total obstetric procedures are often laceration repairs (NICE 2007; Altman and Lydon-Rochelle 2006). It was described by the National Institute for Health and Care Excellence committee in 2007. This is a very credible source since it has previously produced several guidelines that have been life changing in the field of obstetrics and gynecology together with other medical fields. The guidelines have taken healthcare to a whole new level and should therefore be trusted as credible source. The guidelines are very relevant to my study since they look into the entire process of labor and how each stage should be handled.

Attached hereby are the relevant PDF Articles


Allen VM, Baskett TF et al. (2009) Maternal and Perinatal Outcomes with Increasing Duration of the Second Stage of Labor. American Journal of Obstetrics & Gynecology

Altman M, Lydon-Rochelle M (2006) Prolonged second stage of labor and the risk of adverse maternal and perinatal outcomes. Routledge

Macones, G. A. (2016). Management of Labour and Delivery. John Wiley & Sons.

McKinney , E. S., James, S. R., Smith, S. M., & Nelson, K. (2013). Maternal-Child Nursing. Elsevier Health Services.

Murray, M., & Huelsman, G. (2008). Labor and Delivery Nursing: Guide to Evidence Based Practice. Springer Pulishing Company.

Aiken, Catherine E., Aiken, Abigail R., and Prentice, Andrew (2015) Influence of the Duration

of the Second Stage of Labor on the Likelihood of Obstetric Anal Sphincter Injury. Prentice & Hall

Balogach, Angela et al (2012). Noncoached Pushing in the Second Stage of Labor. Journal of

Obstetric, Gynecologic & Neonatal Nursing. Elsevier Health Services.

Frey, Heather A., et al. (2012) Does Delayed Pushing in the Second Stage of Labor Impact

Perinatal Outcomes? American Journal of Perinatology.

Funai, Edmund F. and Norwitz, Errol R. (2015) Management of Normal Labor and Delivery.

UpToDate.com. Wolters Kluwer, 17 Sep. 2015. Web. 6 Nov. 2015.

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