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Care during the second stage of labour

  • Chapter
MIDWIFERY PRACTICE: Core Topics 2

Part of the book series: Midwifery Practice Series ((MIPRA))

Abstract

Entering the second stage of labour can be an almost overwhelming experience for a labouring woman. Some find it liberating and exciting — at last the end of labour is coming, they can push, something is happening; for others, it is the hardest part of labour, when they can become demoralised, feeling they can’t go on, even believing they are going to die (Halldorsdóttir & Karlsdóttir 1996).

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References

  • Albers LL, Schiff M, Gorwoda JG 1996a The length of active labor in normal pregnancies. Obstetrics and Gynecology 87 (3): 355–9

    Article  CAS  PubMed  Google Scholar 

  • Albers LL, Anderson D, Cragin L et al 1996b Factors leading to perineal trauma in childbirth. Journal of Nurse-Midwifery 41 (4): 269–76

    Article  CAS  PubMed  Google Scholar 

  • Aldrich CJ, D’Antona D, Spencer JAD et al 1995a The effect of maternal posture on fetal cerebral oxygenation during labour. British Journal of Obstetrics and Gynaecology 102: 14–19

    Article  CAS  PubMed  Google Scholar 

  • Aldrich CJ, D’Antona D, Spencer JAD 1995b The effect of maternal pushing on fetal oxygenation and blood volume during the second stage of labour. British Journal of Obstetrics and Gynaecology 102: 448–53

    Article  CAS  PubMed  Google Scholar 

  • Argentine Episiotomy Trial Collaborative Group 1993 Routine vs selective episiotomy: a randomized controlled trial. Lancet 342: 1517–18

    Article  Google Scholar 

  • Avery MD, Burket BA 1986 Effect of perineal massage on the incidence of episiotomy and perineal laceration in a nurse-midwifery service. Journal of Nurse-Midwifery 31 (3): 128–34

    Article  CAS  PubMed  Google Scholar 

  • Avery MD, Van Arsdale L 1987 Perineal massage: effect on the incidence of episiotomy and laceration in a nulliparous population. Journal of Nurse-Midwifery 32 (3): 181–4

    Article  CAS  PubMed  Google Scholar 

  • Bassell GM, Humayan SG, Marx GF (1980) Maternal bearing down efforts — another fetal risk? Obstetrics and Gynecology 56: 39–41

    CAS  PubMed  Google Scholar 

  • Chan DPC 1963 Positions during labour. British Medical Journal 1: 100–2

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Coats PM, Chan KK, Wikins M, Beard RJ 1980 A comparison between midline and mediolateral episiotomies. British Journal of Obstetrics and Gynaecology 87: 408–12

    Article  CAS  PubMed  Google Scholar 

  • Crowley P, Elbourne D, Ashurst H, Garcia J, Murphey D, Duigan N 1991 Delivery in an obstetric birth chair: a randomized controlled trial. British Journal of Obstetrics and Gynaecology 98: 667–74

    Article  CAS  PubMed  Google Scholar 

  • Cunningham FG, MacDonald PC, Gant NF 1989 Conduct of normal labor and delivery. In Williams Obstetrics, 18th edn. Prentice Hall, London, Ch 16, p323

    Google Scholar 

  • Dunham C, Myers F, Barnden N, McDougall A, Kelly TL, Aria B 1991 Mamatoto: a celebration of birth. Virago, London, pp 99–101

    Google Scholar 

  • Floud E 1994a Protecting the perineum in childbirth, 1, A retrospective view. British Journal of Midwifery 2: 258–63

    Google Scholar 

  • Floud E 1994b Protecting the perineum in childbirth, 3, Perineal care today. British Journal of Midwifery 2: 359–60

    Google Scholar 

  • Freidman EA 1955 Primigravid labor: a graphicostatistical analysis. Obstetrics and Gynecology 6 (6): 567–88

    Article  Google Scholar 

  • Freidman EA 1956 Labor in multiparas: a graphicostatistical analysis. Obstetrics and Gynecology 8 (6): 691–703

    Google Scholar 

  • Garcia J, Garforth S 1989 Labour and delivery routines in English consultant maternity units. Midwifery 5: 155–62

    Article  CAS  PubMed  Google Scholar 

  • Garcia J, Garforth S, Ayers S 1986 Midwives confined? Labour ward policies and routines. Research and the Midwife Conference Proceedings, University of Manchester, pp 74–80

    Google Scholar 

  • Gardosi J, Hutson N, Lynch CB 1989 Randomised controlled trial of squatting in the second stage of labour. Lancet 2: 74–7

    Article  CAS  PubMed  Google Scholar 

  • Gareberg B, Magnusson B, Sultan B, Wennerholm U-B, Wennergren M, Hagberg H (1994) Birth in standing position: a high frequency of third degree tears. Acta Obstetricia et Gynecologica Scandanavica 73: 630–3

    Article  CAS  Google Scholar 

  • Glazener CMA, Abdalla M, Stroud P, Naji S, Templeton A, Russell AT 1995 Postnatal morbidity: extent, causes, prevention and treatment. British Journal of Obstetrics and Gynaecology 102: 282–7

    Article  CAS  PubMed  Google Scholar 

  • Halldorsdóttir S, Karlsdóttir SI 1996 Journeying through labour and delivery: perceptions of women who have given birth. Midwifery 12: 48–61

    Article  PubMed  Google Scholar 

  • Harrison RF, Brennan M, North PM, Reed JV, Wickham EA 1984 Is routine episiotomy necessary? British Medical Journal 288: 1971–75

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Hodnett ED 1995 Support from caregivers during childbirth. In Neilson JP, Crowther CA, Hodnett ED, Hofmyer GJ, Keirse MJNC, Renfrew MJ (eds) Pregnancy and childbirth module of the Cochrane Database of Systematic Reviews, issue 2. BMJ Publishing, London

    Google Scholar 

  • HOOP Study Collaborative Group 1994 The randomized controlled trial of care of the perineum at delivery: hands on or poised? The HOOP Study. Unpublished protocol, National Perinatal Epidemiology Unit, Oxford

    Google Scholar 

  • House MJ, Cario G, Jones MH 1986 Episiotomy and the perineum: a random controlled trial. Journal of Obstetrics and Gynaecology 7: 107–10

    Article  Google Scholar 

  • Humphrey M, Hounslow D, Morgan S, Wood C 1973 The influence of maternal posture at birth on the fetus. Journal of Obstetrics and Gynaecology of the British Commonwealth 80: 1075–80

    Article  CAS  PubMed  Google Scholar 

  • Johnstone FD, Aboelmagd MS, Harouny AK 1987 Maternal posture in second stage and fetal acid base status. British Journal of Obstetrics and Gynaecology 94: 753–7

    Article  CAS  PubMed  Google Scholar 

  • Kitzinger S 1991 Homebirth and other alternatives to hospital. Dorling Kindersley, London, pp 153–4

    Google Scholar 

  • Klein MC, Gauthier RJ, Jorgensen SH et al 1992 Does episiotomy prevent perineal trauma and pelvic floor relaxation? Online Journal of Clinical Trials 10

    Google Scholar 

  • Knauth DG, Haloburdo EP 1986 Effect of pushing techniques in birthing chair on length of second stage of labour. Nursing Research 35 (1): 49–51

    Article  CAS  PubMed  Google Scholar 

  • Kurtz CS, Schneider H, Huch R, Huch A 1982 The influence of maternal position on the fetal transcutaneous oxygen pressure (tcpO2). Journal of Perinatal Medicine 10 (supplement 2): 74–5

    Article  Google Scholar 

  • Labrecque M, Marcoux S, Pinault J-J, Laroche C, Martin S (1994) Prevention of perineal trauma by perineal massage during pregnancy: a pilot study. Birth 21: 20–5

    Article  CAS  PubMed  Google Scholar 

  • McManus TJ, Calder AA 1978 Upright posture and the efficiency of labour. Lancet 1: 72–4

    Article  CAS  PubMed  Google Scholar 

  • Mascarenhas L, Eliot BW, Mackenzie IZ 1992 A comparison of perineal outcome, antenatal and intrapartum care between England and Wales and France. British Journal of Obstetrics and Gynaecology 88: 955–8

    Article  Google Scholar 

  • Meticoglou SM, Manning F, Harman C, Morrison I 1995 Perinatal outcome in relation to second-stage duration. American Journal of Obstetrics and Gynecology 173 (3): 906–12

    Article  Google Scholar 

  • Nikodem VC 1995a Upright versus recumbent position during second stage of labour. In Enkin MW, Keirse MJNC, Renfrew MJ, Neilson JP (eds) Pregnancy and childbirth module of the Cochrane Database of Systematic Reviews, issue 2. BMJ Publishing, London

    Google Scholar 

  • Nikodem VC 1995d Early versus late pushing with epidural anaesthesia in 2nd stage of labour. In Enkin MW, Keirse MJNC, Renfrew MJ, Neilson JP (eds) Pregnancy and childbirth module of the Cochrane Database of Systematic Reviews, issue 2. BMJ Publishing, London

    Google Scholar 

  • North West Thames Region 1993 North West Thames Region annual maternity figures 1992. St Mary’s Maternity Information System, London, pp 57–9

    Google Scholar 

  • Parnell C, Roos-Langhoff J, Iversen R, Damgaard P 1993 Pushing method in the expulsive phase of labor. Acta Obstetricia et Gynecologica Scandinavica 72: 31–5

    Article  CAS  PubMed  Google Scholar 

  • Roberts JE, Goldstein SA, Gruener SJ, Maggio M, Mendez-Bauer C 1987 A descriptive analysis of involuntary bearing down efforts during the expulsive phase of labor. Journal of Obstetric, Gynaecological and Neonatal Nursing 16: 48–55

    Article  CAS  Google Scholar 

  • Saunders NSG, Paterson CM, Wadsworth J 1992 Neonatal and maternal morbidity in relation to the length of the second stage of labour. British Journal of Obstetrics and Gynaecology 96 (5): 381–5

    Article  Google Scholar 

  • Sleep JM 1993 Physiology and management of the second stage of labour. In Bennett RV, Brown LK (eds) Myles’ Textbook for midwives, 12th edn. Churchill Livingstone, London, Ch 14, pp 210–12

    Google Scholar 

  • Sleep JM, Grant A 1987 West Berkshire perineal management trial: three year follow-up. British Medical Journal 295: 749–51

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Sleep JM, Grant A, Garcia J, Elbourne D, Spencer J, Chalmers I 1984 West Berkshire perineal management trial. British Medical Journal 289: 587–90

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Sleep JM, Roberts J, Chalmers I 1989 Care during the second stage of labour. In Chalmers I, Enkin M, Kierse MJNC (eds) Effective care in pregnancy and childbirth. Oxford University Press, Oxford, Ch 66, pp1131, 1136

    Google Scholar 

  • South East Thames Region 1995 Perinatal profile: a review of South East Thames perinatal statistics from 1988–89. STRHA, Bexhill-on-Sea, pp 31–2

    Google Scholar 

  • Stewart P 1991 Influence of posture in labour. Contemporary Reviews in Obstetrics and Gynaecology 3 (3): 152–7

    Google Scholar 

  • Stewart P, Spiby H 1989 A randomized study of sitting position for delivery using a newly designed obstetric chair. British Journal of Obstetrics and Gynaecology 96 (3): 327–33

    Article  CAS  PubMed  Google Scholar 

  • Stewart P, Hillan E, Calder AA 1983 A randomised trial to evaluate the use of a birth chair for delivery. Lancet 1: 1296–8

    Article  CAS  PubMed  Google Scholar 

  • Sweet B 1992 Baillière’s midwives dictionary, 8th edn. Baillière Tindall, London, p279

    Google Scholar 

  • Thacker SE, Banta HD 1983 Benefits and risks of episiotomy; an interpretative review of the English language literature, 1860–1980. Obstetrical and Gynaecological Survey 38: 322–38

    Article  CAS  Google Scholar 

  • Thomson AM 1993 Pushing techniques in the second stage of labour. Journal of Advanced Nursing 18: 171–7

    Article  CAS  PubMed  Google Scholar 

  • Thomson AM 1995 Maternal behaviour during spontaneous and directed pushing in second stage of labour. Journal of Advanced Nursing 22: 1027–34

    Article  CAS  PubMed  Google Scholar 

  • Thorp JM, Bowes WA, Brame RG, Cefal R 1987 Selected use of midline episiotomy: effect on perineal trauma. Obstetrics and Gynaecology 70: 260–2

    Google Scholar 

  • Turner MJ, Romney ML, Webb JB, Gordon H 1986 The birthing chair: an obstetric hazard? Journal of Obstetrics and Gynaecology 6: 232–5

    Article  Google Scholar 

  • United Kingdom Central Council for Nursing, Midwifery and Health Visiting 1993 Midwives rules. UKCC, London, p20

    Google Scholar 

  • Waldenstrom U, Gottvall K 1991 A randomized trial of birthing stool or conventional semirecumbent position for second-stage labor. Birth 18: 5–10

    Article  CAS  PubMed  Google Scholar 

  • Wilkerson VA 1984 The use of episiotomy in normal delivery. Midwives Chronicle and Nursing Notes 97: 106–10

    CAS  PubMed  Google Scholar 

  • Williams J 1993 Prolonged pregnancy and disorders of uterine action. In Bennet RV, Brown LK (eds) Myles’ Textbook for midwives, 12th edn. Churchill Livingstone, London, Ch 25, pp 389–99

    Google Scholar 

Suggested further reading

  • Cochrane Library, The Cochrane Collaboration. Oxford Update Software/BMJ Publishing Group, London

    Google Scholar 

  • MIDIRS/NHS Centre for Reviews and Dissemination 1996 Positions in labour and delivery: informed choice for professionals. MIDIRS, Bristol

    Google Scholar 

  • Sleep J, Roberts J, Chalmers I 1989 Care during the second stage of labour. In Chalmers I, Enkin M, Kierse M (eds) Effective care in pregnancy and childbirth. Oxford University Press, Oxford, pp 1129–44

    Google Scholar 

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Authors
  1. Rona McCandlish
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Jo Alexander Valerie Levy Carolyn Roth

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© 1997 Rona McCandlish

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McCandlish, R. (1997). Care during the second stage of labour. In: Alexander, J., Levy, V., Roth, C. (eds) MIDWIFERY PRACTICE: Core Topics 2. Midwifery Practice Series. Palgrave, London. https://doi.org/10.1007/978-1-349-14529-4_7

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  • DOI: https://doi.org/10.1007/978-1-349-14529-4_7

  • Publisher Name: Palgrave, London

  • Print ISBN: 978-0-333-69627-9

  • Online ISBN: 978-1-349-14529-4

  • eBook Packages: EngineeringEngineering (R0)

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