background: lack of information regarding biochemical changes in women during labor and its outcomes on maternal and neonatal health still is an unanswered question. this study aims to explore the effectiveness of oral carbohydrate intake during labor on the duration of the active phase and other maternal and neonatal outcomes. methods: a parallel prospective randomized controlled trial, conduc...

There exist very few studies comparing different postures or postural changes during labor in parturients with epidural analgesia. AIM To disclose whether the intervention of a multidisciplinary nursing team including a physiotherapist during the second stage of labor improves the obstetric outcome in parturients with epidural analgesia. DESIGN Prospective randomized trial. SETTING Univer...

Aims: Spinal analgesia is the most common method that provides pain relief during labor and controversy exists about its effect on the maternal and fetal among the women. This study was conducted to determine the effect of intrathecal analgesia (ITA) on perineal laceration, duration of the first, second, and third stage of labor, and Apgar score. Materials & Methods: Fifty primipara parturien...

The purpose of this project is to develop, implement, and evaluate an educational program improve obstetric nurses’ management the second stage labor.

background & aim: although cold and heat have been recommended for labor pain relief, comparison of them and intermittent change in cold and heat therapy has been less considered. this study compared the effects of separate and intermittent heat and cold on labor pain relief and some birth outcomes . methods & materials : this was a randomized clinical trial. ninety-six parturient women were ra...

abstract background: prolonged labor can lead to maternal and neonatal complications. the purpose of this study was to investigate the effect of oral propranolol plus oxytocin versus oxytocin only on the process and outcome of labor. materials and methods: in a randomized, double-blind, controlled trial performed in ilam mustafa hospital, a total of 146 nulliparous pregnant women at gestational...

BACKGROUND We sought to investigate the impact of the duration of second stage of labor on risk of severe perineal lacerations (third and fourth degree). METHODS This population based cohort study was conducted in the Stockholm/Gotland region, Sweden, 2008-2014. Study population included 52 211 primiparous women undergoing vaginal delivery with cephalic presentation at term. Unconditional log...