Pushing early in the birth will not hurt mom, baby



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TUESDAY, October 9, 2018 (HealthDay News) – Moms will want to read this.

According to researchers, pushing earlier during childbirth is as safe for most women and babies as later.

The best time to start pushing during work was discussed. Many US hospitals recommend delaying relapses, but the evidence has not been conclusive.

This new study of 2,400 new mothers revealed that the early onset did not increase the need for cesarean section. He was also associated with a lower probability of hemorrhage and infection.

"The theory behind the delayed onset is that, even though they are lingering, the uterus continues to contract and perhaps does some of the work to bring the baby to life," said the principal investigator. Dr. Alison Cahill, Chief of Maternal and Fetal Medicine at Washington University School of Medicine. in St. Louis.

"Part of the theory is that it would increase the chances that they will successfully deliver vaginally," Cahill said.

But this was not the case in this study. The researchers found that women had pushed early or waited an hour or less, which did not affect their need for surgical delivery.

In addition, future mothers who grew early were 40% less likely to have significant bleeding than women who started to grow later. They were also 30% less likely to develop an infection, Cahill said.

According to Cahill, the thrust starts naturally during the second stage of labor when the cervix is ​​fully dilated. But as most women have a local painkiller during delivery, the urge to push is lessened.

At this point, the doctors recommend either to push immediately with contractions, or not to push, to let the fetus go down spontaneously, she said.

In this trial, participants were randomly selected to start pushing early or wait an hour. All received a local painkiller. The timing of pushing does not affect the chances of a normal vaginal delivery or the baby. The researchers also found that this did not change the need for forceps or cupping, nor the need for caesarean delivery.

"New mothers with regional anesthesia should be quick to push to increase the chances of vaginal delivery," Cahill said.

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