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Re: 2nd stage pushing From: Michael Klein (mklein@unixg.ubc.ca) Sun Oct 29 23:08:31 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Mats Bergstrom: "Re: suspected DVT" Previous message: David Nagey: "Re: suspected DVT" Maybe in reply to: PhilR7@aol.com: "2nd stage pushing" The classical study by British obstetrician Benyon showed that if one left women alone they pushed for about 8 sec vs the usual purple pushing and had their babies at the same time, and presumably less fetal distress but don't remember details but can get them. Small RCT by Maresh et al Br J Obs and Gyn 1983;90:623-7 showed delayed pushing to be associated with small increase in spon vag del compared with pushing at 10 cms. We are doing an RCT of early vs late pushing in the presence of epidural, PI is Bill Fraser in Laval. -- Michael Klein, M.D., F.C.F.P., A.B.F.P., F.A.A.P (Neonatal-Perinatal), F.C.P.S Professor Departments of Family Practice and Pediatrics University of British Columbia Head Departments of Family Practice British Columbia's Women's and Children's Hospitals 4500 Oak Street, Vancouver, British Columbia, V6H 3N1 (604) 875-3441 Fax:(604) 875-3435 E-mail: mklein@unixg.ubc.ca On Fri, 27 Oct 1995, David Nagey wrote: > There was a clinical trial (not terribly well executed if memory serves - but > not disastrously so) in JOGN about mid to early 80's showing no difference in > 2nd stage length and higher Apgars for uncoached as opposed to coached 2nd > stages. > > David > David Nagey -University of Maryland School of Medicine -dnagey@c3p0.ab.umd.edu > (410) 328-5957, FAX (410) 328-8389, beeper (410) 389-9097 > Next message: Mats Bergstrom: "Re: suspected DVT" Previous message: David Nagey: "Re: suspected DVT" Maybe in reply to: PhilR7@aol.com: "2nd stage pushing"

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