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مجله دانشگاه علوم پزشکی بابل، جلد ۸، شماره ۲، صفحات ۵۱-۵۵
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عنوان فارسی |
زور زدن خودبخودی و فعال در مرحله دوم زایمان و عاقبت جنینی زنان نخست زا |
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چکیده فارسی مقاله |
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کلیدواژههای فارسی مقاله |
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عنوان انگلیسی |
Spontaneous and active pushing in second stage labor and fetal outcome in primiparous women |
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چکیده انگلیسی مقاله |
BACKGROUND AND OBJECTIVE: Active pushing in second stage labor is acceptable, despite its complications for fetus and it has been noticed by midwifes and obstetricians. Recent studies have shown that spontaneous pushing decreases fetal acidosis. So, the objective of this study was to assess the effect of spontaneous and active pushing in second stage labor on fetal outcome in primiparous women.METHODS: This clinical trial study was done on 108 primiparous women with uncomplicated labor that based on fliess table randomly assigned to spontaneous and active groups. In spontaneous group used her own urge to push and in active groups encouraged to take a deep breath, hold it and push for ten numbers. After delivery, cord arterial blood PH value and Apgar score (1min & 5min) were measured.FINDINGS: The results of this study showed that arterial cord PH was higher in the spontaneous pushing versus active pushing (p< 0.001). Apgar score (1min & 5min) had no significant difference between two groups. There was significant correlation between Apgar score (1min & 5min) and arterial umbilical PH (p=0.028, p=0.019).CONCLUSION: Spontaneous pushing decreases fetal acidosis so it can be effective, healthy, and cheap method for improving neonatal outcome. |
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کلیدواژههای انگلیسی مقاله |
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نویسندگان مقاله |
راحله عسلی | r asali رشت، پل طالشان، دانشگاه آزاد اسلامی، تلفن 4-4222153-0131، assali@iaurasht.ac.ir
مهین تفضلی | m tafazoli
زهرا عابدیان | z abedian
حبیب اله اسماعیلی | h esmaeili
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نشانی اینترنتی |
http://www.jbums.org/browse.php?a_code=A-10-1370-392&slc_lang=fa&sid=fa |
فایل مقاله |
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کد مقاله (doi) |
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زبان مقاله منتشر شده |
fa |
موضوعات مقاله منتشر شده |
بیوشیمی |
نوع مقاله منتشر شده |
تحلیلی |
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