Obstetric gel shortens second stage of labor and prevents perineal trauma in nulliparous women: a randomized controlled trial on labor facilitation
| Autor: | Wolfgang Holzgreve, Ulrich Bleul, Andreas F. Schaub, Mario Litschgi, Verena Geissbühler, Irene Hoesli |
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| Přispěvatelé: | University of Zurich, Geissbühler, V |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Randomization Future studies Acrylic Resins Perineum law.invention Randomized controlled trial Labor Stage Second Pregnancy law Humans Medicine 2735 Pediatrics Perinatology and Child Health Cellulose Gynecology 630 Agriculture business.industry Obstetrics Obstetrics and Gynecology 2729 Obstetrics and Gynecology medicine.disease Propylene Glycol Obstetric Labor Complications 10187 Department of Farm Animals Clinical trial Administration Intravaginal Parity Treatment Outcome medicine.anatomical_structure Pediatrics Perinatology and Child Health Vaginal Creams Foams and Jellies 570 Life sciences biology Reproductive Control Agents Gestation Tears Female business |
| Popis: | Objective: To determine whether the obstetric gel shortens the second stage of labor and exerts a protective effect on the perineum. Method: A total of 251 nulliparous women with singleton low-risk pregnancies in vertex position at term were recruited. A total of 228 eligible women were randomly assigned to Group A, without obstetric gel use, or to Group B, obstetric gel use, i.e., intermittent application into the birth canal during vaginal examinations, starting at the early first stage of labor (prior to 4cm dilation) and ending with delivery. Results: A total of 183 cases were analyzed. For vaginal deliveries without interventions, such as C-section, vaginal operative procedure or Kristeller maneuver, obstetric gel use significantly shortened the second stage of labor by 26min (30%) (P=0.026), and significantly reduced perineal tears (P=0.024). First stage of labor and total labor duration were also shortened, but not significantly. Results did not show a significant change in secondary outcome parameters, such as intervention rates or maternal and newborn outcomes. No side effects were observed with obstetric gel use. Conclusion: Systematic vaginal application of obstetric gel showed a significant reduction in the second stage of labor and a significant increase in perineal integrity. Future studies should further investigate the effect on intervention rates and maternal and neonatal outcome parameters |
| Databáze: | OpenAIRE |
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