Effect of Uterine Fundal Pressure Applied in the Second Stage of Labor on Birth Outcomes

Document Type : Original Article

Authors

Department of obstetrics and gynecology, faculty of Medicine, Menoufia university, Menoufia, Egypt

Abstract

Objectives: to assess the effect of uterine fundal pressure applied in the second stage of labor on birth outcomes.

Background: One of the most applied methods to intervene in labor is fundal pressure with intention to promote or accelerate the time to a spontaneous vaginal birth with a prolonged second stage of labor.

Patients and methods: This observational study was conducted on 136 pregnant women at term admitted for labor at the department of Obstetrics & Gynecology, Menoufia University Hospital from May 2022 to May 2023.

The participants divided into two equal groups each one included 68 participants. Group 1 Pregnant women who received fundal pressure in the second stage of labor, Group 2 Pregnant women who did not receive fundal pressure in the second stage of labor. Data were collected and tabulated.

Results: There were no statistically significant differences between both group with regard to O2 saturation, Apgar score, and Shoulder dystocia. But there was highly significant difference between two group as regard maternal outcomes with P-value<0.001.

Conclusion: Fundal pressure had shortened the second stage of labor but had increased the rate of trauma, perineal laceration, and cervical laceration with insignificant effect on fetal outcomes

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