Reducing Length of Labor and Cesarean Surgery Rate Using a Peanut Ball for Women Laboring With an Epidural.
| Autor: | Tussey, Christina Marie, Botsios, Emily, Gerkin, Richard D., Kelly, Lesly A., Gamez, Juana, Mensik, Jennifer |
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| Předmět: |
CERVIX uteri
CESAREAN section CHI-squared test DELIVERY (Obstetrics) FISHER exact test LABOR (Obstetrics) LABOR complications (Obstetrics) INDUCED labor (Obstetrics) MATERNAL health services MATERNITY nursing EVALUATION of medical care PELVIS REGRESSION analysis STATISTICAL sampling STATISTICS T-test (Statistics) TIME VAGINA LOGISTIC regression analysis STATISTICAL power analysis DATA analysis MULTIPLE regression analysis RANDOMIZED controlled trials PARITY (Obstetrics) DATA analysis software DESCRIPTIVE statistics EPIDURAL analgesia |
| Zdroj: | Journal of Perinatal Education; Winter2015, Vol. 24 Issue 1, p16-24, 9p, 4 Charts |
| Abstrakt: | One strategy for reducing the primary cesarean surgery rate and length of labor is using a peanut-shaped exercise ball for women laboring under epidural analgesia. A randomized, controlled study was conducted to determine whether use of a “peanut ball” decreased length of labor and increased the rate of vaginal birth. W omen who used the peanut ball (n = 107) versus those who did not (n = 91) demonstrated shorter first stage labor by 29 min (p = .053) and second stage labor by 11 min (p < .001). The intervention was associated with a significantly lower incidence of cesarean surgery {OR = 0.41, p = .04). The peanut ball is potentially a successful nursing intervention to help progress labor and support vaginal birth for women laboring under epidural analgesia. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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