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Implementing Safe and Effective Practices for Second Stage LaborFrom: GIN11153@aol.comFri Mar 20 11:12:45 2009
Lippincott has graciously opened this article to non subscribers at no cost, by Laura Mahlmeister-a very good read!: For nearly 60 years, women who reach the second stage of labor have been exhorted to push hard and push long during your contraction while I count to 10. This drill is commonly referred to as purple pushing because the mother's face becomes increasingly engorged with blood during sustained, closed-glottis, bearing-down efforts. The practice became standardized in virtually all labor and delivery settings in the United States and Canada by the mid-1960s. The ritual of immediate, forceful, closed-glottis pushing is attributed in part to medical literature published in the 1950s, reporting a relationship between prolonged second-stage labor and maternal-neonatal morbidity. However, subsequent studies have not consistently found a relationship between longer second-stage labors and adverse outcomes. Immediate, closed-glottis pushing has also been sustained in part by the establishment of arbitrary timelines for the duration of second-stage labor. Read the rest here _http://www.lww.com/static/promos/W9K683AH.pdf?utm_source=subscribers&utm_medi um=email&utm_content=productpageREADMORELINK&utm_campaign=W9K683AH_ (http://www.lww.com/static/promos/W9K683AH.pdf?utm_source=subscribers&utm_medium=email&u tm_content=productpageREADMORELINK&utm_campaign=W9K683AH) Gail Neuman RNC CPHW Administrator/student midwife Orange County Maternity Center 1210 S. State College Bl., Suite D Anaheim, CA 92806
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