Fundal Pressure Practice in the Late Second Stage of Labor Amongst the Healthcare Practitioners a Survey Based Study

Simple item page
dc.contributor.authorShukla, Mauli K.en_US
dc.contributor.authorDoshi, Haresh U.en_US
dc.contributor.authorSingh, Kanupriya M.en_US
dc.date.accessioned2024-12-07T11:56:22Z
dc.date.available2024-12-07T11:56:22Z
dc.date.issued2024-01
dc.description.abstractBACKGROUND- Caesarean rates have increased considerably in present times. Obstetricians are performing lesser instrumental deliveries in second stage of labour due to less training and skills and fear of litigations. Uterine fundal pressure is pressure applied to a woman’s uterine fundus in the direction of the vagina during the second stage of labour with intention to promote or accelerate the time of vaginal birth. METHODS- The study was a questionnaire – based study that was carried out via google survey forms. The survey was conducted amongst 700 Obstetricians from all over India via Google forms and we received 663 replies. The survey comprised of 8 questions which include practice of fundal pressure, who gives it, success rate, station at which it was given, its use along with instrumental delivery, use of episiotomy, complications if any and lastly the number of contractions for which the fundal pressure was employed by different obstetricians. RESULTS- Fundal pressure was practiced by majority (94.9 %) either regularly or sometimes. Only few 5.1% doctors never used it. Most of the times, it was given by a healthcare worker (55.8%). Nearly one fourth of them (40%) achieved more than 70 % of success rate for vaginal deliveries. Large number of doctors, (56%) were giving fundal pressure at crowning. During instrumental deliveries 55.4 % practiced fundal pressure. Episiotomy was commonly employed (68.2%) before giving fundal pressure. There were no major complications during the procedure, except small perineal or vaginal tears. Half of the respondents practiced fundal pressure up to 3 to 4 contractions. CONCLUSION – In cases of prolonged second stage, fetal distress, failure to progress and maternal exhaustion, fundal pressure is often used to assist vaginal birth. This shortens the second stage & reduces the need for instrumental deliveries or LSCS & improves perinatal outcome. In majority cases fundal pressure gives good results in achieving vaginal deliveries. Very few cases have adverse maternal outcomes in the form of perineal tears.en_US
dc.identifier.affiliationsSECOND YEAR RESIDENT, OBSTETRICS AND GYNAECOLOGY DEPARTMENT, GCS MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, AHMEDABAD, INDIAen_US
dc.identifier.affiliationsPROFESSOR AND HEAD OF DEPARTMENT, OBSTETRICS AND GYNAECOLOGY DEPARTMENT, GCS MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, AHMEDABAD, INDIAen_US
dc.identifier.affiliationsPROFESSOR, OBSTETRICS AND GYNAECOLOGY DEPARTMENT, GCS MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, AHMEDABAD, INDIAen_US
dc.identifier.citationShukla Mauli K., Doshi Haresh U., Singh Kanupriya M.. Fundal Pressure Practice in the Late Second Stage of Labor Amongst the Healthcare Practitioners a Survey Based Study. Indian Journal of Applied Basic Medical Sciences. 2024 Jan; 26A(1): 1-7en_US
dc.identifier.issn0975-8917
dc.identifier.issn2249-7935
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/242243
dc.languageenen_US
dc.publisherFORUM: Fraternity of national Research & pUblication Society of Medical sciencesen_US
dc.relation.issuenumber1en_US
dc.relation.volume26Aen_US
dc.source.urihttps://doi.org/10.5281/zenodo.10565398en_US
dc.subjectFundal pressureen_US
dc.subjectsecond stage of labouren_US
dc.subjectvaginal birthsen_US
dc.subjectinstrumental deliveriesen_US
dc.subjectcaesarean sectionsen_US
dc.subjectoutcomesen_US
dc.titleFundal Pressure Practice in the Late Second Stage of Labor Amongst the Healthcare Practitioners a Survey Based Studyen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
ijabms2024v26An1p1a.pdf
Size:
215.88 KB
Format:
Adobe Portable Document Format
Download
Collections
Indian Journal of Applied-Basic Medical Sciences