Pressing methods for the expulsion phase during birth
Pressing methods Birth

Pressing methods for the expulsion phase during birth

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Overview of the pressing methods

Power presses

Take a deep breath with each contraction and push for the entire duration of the contraction.

spontaneous pressing

Women follow their own instincts, idR 3-5 times/ woe.

delayed pressing

Women only push when they can no longer withstand the urge to press or when the control centre has reached the dam.

Differences between the pressing methods

Spontaneous pressing compared to power pressing

Hardly any differences

Delayed pushing compared with immediate pushing (both with epidural anaesthesia)

  • with delayed pushing, prolongation of the expulsion phase by about 56 minutes(evidence low)
  • Delaying pushing in women with epidural anaesthesia shortens pushing time and increases likelihood of spontaneous vaginal delivery
  • Low pH value of the umbilical cord blood is more frequent with delayed pressing.
Lemos et al 2017
 

ENGLISH VERSION:
Pressing methods for the expulsion phase of birth

Power pushing

take a deep breath with each contraction and push for the entire duration of the contraction.

Spontaneous pushing

Women follow their own instincts, usually 3-5 times per contraction.

Delayed pushing

Women push only when they can no longer withstand the urge to push or when the control centre has reached the perineum.

Differences in Pressing methods

spontaneous pushing compared with power pushing

Hardly any differences

Delayed pushing compared with immediate pushing (both with epidural anaesthesia)

  • Delayed pushing prolongs the expulsion phase by about 56 minutes(evidence low).
  • Delayed pushing in women with epidural anaesthesia reduces duration of pushing and increases likelihood of spontaneous vaginal delivery.
  • Delayed pushing more likely to result in low pH of cord blood.
Lemos et al 2017
 

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