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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 04 Nov 2005
Modified on : 06 Jun 2019

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Bibliographical entry (without author) :

A randomized trial of the effects of coached vs uncoached maternal pushing during the second stage of labor on postpartum pelvic floor structure and function. Am J Obstet Gynecol. 2005 May;192(5):1692-6.

Author(s) :

Schaffer JI, Bloom SL, Casey BM, McIntire DD, Nihira MA, Leveno KJ.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

(Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, USA.)

OBJECTIVE: The purpose of this study was to determine if refraining from coached pushing during the second stage of labor affects postpartum urogynecologic measures of pelvic floor structure and function.

STUDY DESIGN: Nulliparous women
at term were randomized to coached (n = 67) vs uncoached (n = 61) pushing. At 3 months’ postpartum women underwent urodynamic testing, pelvic organ prolapse examination (POPQ), and pelvic floor neuromuscular assessment.

Urodynamic testing revealed decreased bladder capacity (427 mL vs 482 mL, P =.051) and decreased first urge to void (160 mL vs 202 mL, P =.025) in the coached group. Detrusor overactivity increased 2-fold in the coached group (16% vs 8%), although this difference was not statistically significant (P =.17).
Urodynamic stress incontinence was diagnosed in the coached group in 11/67 (16%) vs 7/61 (12%) in the uncoached group (P =.42).

CONCLUSION: Coached pushing in the second stage of labor significantly affected urodynamic indices, and was associated with a trend towards increased detrusor overactivity.

Sumário (português)  :

Resumen (español)  :

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Comments :

Argument (français) :

Les poussées en deuxième phase du travail ont eu un impact significatif sur les indices urodynamiques

Argument (English):

Coached pushing in the second stage of labor significantly affected urodynamic indices

Argumento (português):

Empurrando na segunda fase do trabalho afetou significativamente os índices urodinâmicos

Argumento (español):

Keywords :

➡ duration of labour ; physiology ; active management of labor ; incontinence/prolapsus

Author of this record :

Bernard Bel — 04 Nov 2005
➡ latest update : Bernard Bel — 06 Jun 2019

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