The Outcomes of Delivery by Fundal Pressure Maneuver in the Second Stage of Labor

The use of uterine fundal pressure maneuver to assist pregnant women in the second stage of labor is a controversial issue. Therefore, the aim of this study is to detect the outcomes of delivery by fundal pressure in the second stage of labor. In this cross-sectional study, ۱۶۶ women with uterine fundal pressure maneuver and ۱۶۵ samples without uterine fundal pressure maneuver were delivered. Then, delivery outcome was evaluated in two groups. The results showed that the mean amounts of postpartum hemorrhage of the first ۳۰ min were ۶۸۱.۱۴۴(۳۸۵.۲), and ۲۸۰.۲(۳۷۷.۸۷) in with uterine fundal pressure maneuver and without uterine fundal pressure maneuver groups, respectively. Frequency of episiotomy was in the with uterine fundal pressure maneuver group ۲۱.۷% and ۱.۲% in without uterine fundal pressure maneuver groups. The mean Apgar score in the first minute (۷.۶۶ ± ۱.۰۷ and ۸.۶۳ ± ۰.۹۳) and fifth (۹.۷۴ ± ۰.۶۱ and ۹.۹۲.۰ ± ۰.۶۵) delivery in with uterine fundal pressure maneuver of without uterine fundal pressure maneuver groups was significantly lower, respectively (p<۰.۰۰۱). Rate of infants admitted in neonatal intensive care unit in with uterine fundal pressure maneuver groups was ۲۸.۳% and without uterine fundal pressure maneuver groups was ۴.۹%, respectively: The use of uterine fundal pressure maneuver increased the rate of maternal and neonatal complications. Therefore, physicians and midwives should make the decision about the appropriate use of uterine fundal pressure maneuver based on the patient's individual clinical circumstances.

کلیدواژه ها:

Fundal pressure maneuver ، Outcomes ، Delivery ، Second stage of labor