Title |
Fundal pressure during the second stage of labour
|
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Published by |
John Wiley & Sons, Ltd, October 2009
|
DOI | 10.1002/14651858.cd006067.pub2 |
Pubmed ID | |
Authors |
Verheijen, Evelyn C, Raven, Joanna H, Hofmeyr, G Justus |
Abstract |
Fundal pressure during the second stage of labour involves application of manual pressure to the uppermost part of the uterus directed towards the birth canal in an attempt to assist spontaneous vaginal delivery and avoid prolonged second stage or the need for operative delivery. Fundal pressure has also been applied using an inflatable girdle. A survey in the United States found that 84% of the respondents used fundal pressure in their obstetric centres.There is little evidence to demonstrate that the use of fundal pressure is effective to improve maternal and/or neonatal outcomes. Several anecdotal reports suggest that fundal pressure is associated with maternal and neonatal complications: for example, uterine rupture, neonatal fractures and brain damage. There is a need for objective evaluation of the effectiveness and safety of fundal pressure in the second stage of labour. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Iran, Islamic Republic of | 1 | 1% |
United Kingdom | 1 | 1% |
Ireland | 1 | 1% |
Peru | 1 | 1% |
Unknown | 93 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 17 | 18% |
Researcher | 15 | 15% |
Student > Ph. D. Student | 13 | 13% |
Student > Bachelor | 12 | 12% |
Student > Postgraduate | 9 | 9% |
Other | 19 | 20% |
Unknown | 12 | 12% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 42 | 43% |
Nursing and Health Professions | 21 | 22% |
Social Sciences | 7 | 7% |
Psychology | 4 | 4% |
Economics, Econometrics and Finance | 2 | 2% |
Other | 9 | 9% |
Unknown | 12 | 12% |