How does the duration of active pushing in labor affect neonatal outcomes?

Aim: To assess the effect of time of active pushing (TAP) on neonatal outcome. Materials and methods: The study population (n=36,432) was taken from a Swedish randomized control trial on intrapartum monitoring, a European Union fetal electrocardiogram trial, and from Mölndal Hospital. After validati...

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Veröffentlicht in:	Journal of perinatal medicine 2012-01, Vol.40 (2), p.171-178
Hauptverfasser:	Yli, Branka M., Kro, Grete A. Birkeland, Rasmussen, Svein, Khoury, Janette, Norèn, Håkan, Amer-Wåhlin, Isis, Saugstad, Ola Didrik, Stray-Pedersen, Babill
Format:	Artikel
Sprache:	eng
Schlagworte:	Acid-base balance acidosis Acidosis - epidemiology Adult Apgar score base deficit Biological and medical sciences Delivery, Obstetric Delivery. Postpartum. Lactation Female Fetal Blood Fetal Monitoring Gynecology. Andrology. Obstetrics Humans Hydrogen-Ion Concentration Infant, Newborn intrapartum hypoxia Labor Stage, Second - physiology Male Medical sciences Medicin och hälsovetenskap Pregnancy Pregnancy Outcome second stage Time Factors time of active pushing Umbilical Arteries umbilical cord blood
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Zusammenfassung:	Aim: To assess the effect of time of active pushing (TAP) on neonatal outcome. Materials and methods: The study population (n=36,432) was taken from a Swedish randomized control trial on intrapartum monitoring, a European Union fetal electrocardiogram trial, and from Mölndal Hospital. After validation of acid-base samples and TAP, 22,812 cases were accepted for analysis. Results: The median active TAP was 36 min for P0 and 13 min for P≥1 (P
ISSN:	0300-5577 1619-3997 1619-3997
DOI:	10.1515/jpm.2011.126