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  • Title: Nursing management of second stage labor.
    Author: McKeon VA, O'Reilly M.
    Journal: Online J Knowl Synth Nurs; 1997 Aug 25; 4():4. PubMed ID: 12876661.
    Abstract:
    Despite considerable research into nursing management of second stage labor, traditional approaches continue to predominate. Women are still encouraged to deliver in a recumbent position using sustained, closed-glottis pushing. Current research suggests that utilizing an upright position with pushing that is open glottis and complementary with the involuntary bearing-down reflex produces good maternal/fetal outcomes. Issues such as position, second stage phases, and bearing-down techniques are discussed in view of recent research findings. Gaps in knowledge are identified and practice implications are clearly defined. Now is the time to apply research-based knowledge to nursing management of second stage labor.
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