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There is little or no benefit apparent to the practice of coached pushing during the second stage of labor.

There is little or no benefit apparent to the practice of coached pushing during the second stage of labor. This method, in which a childbearing woman is instructed to pull back her legs, tuck in her chin, hold her breath and push during a contraction's peak, had previously been linked to increased risk of developing incontinence. The same researchers who discovered this association then conducted a secondary data analysis to determine the effect of coached pushing on delivery and infant outcomes. Women who received specific instructions on how to push had second stage labors that were, on average, 13 minutes shorter than women who pushed without coaching. This difference did not result in any benefit for the babies, however. But, the negative impact of impaired pelvic floor function does have quality-of-life implications for mothers. Women should be fully informed of the risk of coached pushing before labor so they can decide for themselves how they want to proceed.

American Journal of Obstetrics and Gynecology, JANUARY 2006
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Copyright 2007 Gale, Cengage Learning. All rights reserved.

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Publication:Women's Health Activist
Article Type:Brief article
Geographic Code:1USA
Date:Mar 1, 2007
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