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Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery

  • Authors:
    • Yan-Qing Chen
    • Zhao-Wei Wang
    • Hai-Chao Liu
    • Jiao Wu
    • Jun-Zhong Qin
    • Ju-Hui Li
    • Dong-Qing Wu
    • Hui-Yu Jiang
  • View Affiliations / Copyright

    Affiliations: Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China, Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China
    Copyright: © Chen et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 5
    |
    Published online on: November 8, 2023
       https://doi.org/10.3892/etm.2023.12292
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Abstract

A prolonged second stage of vaginal delivery increases the risk of shoulder dystocia, unnecessary episiotomies and cesarean sections. However, no standardized method has been proposed to tackle this issue. The effects of pelvic floor myofascial manipulation intervention during the second stage of labor in primiparas and its prognostic value in neonatal postpartum outcomes remain unknown. In the present study, a total of 60 primiparas who were expecting a vaginal delivery in the Second Affiliated Hospital of Hainan Medical College (Haikou, China) between October 2021 and January 2022 were selected. These women were randomly assigned to a control group (standard intrapartum care) or an experimental group (pelvic floor myofascial manipulation for 15‑20 min during the second stage of labor along with standard intrapartum care) using a random number table, with 28 patients in each group. There was no significant difference in age, gestational time or body mass index between the two groups before delivery, indicating that the baseline data were comparable. The second stage of labor duration, forced breath‑holding time and postpartum hemorrhage volume in the experimental group were significantly lower than those in the control group. The pain visual analog scale scores, fatigue scores and neonatal Apgar scores in the experimental group were also significantly lower than those in the control group. The rate of episiotomy in the experimental group was lower than that in the control group, but the difference was not statistically significant. In conclusion, pelvic floor myofascial manipulation intervention during the second stage of labor for primiparas with vaginal delivery can reduce the duration of the second stage of labor, the amount of bleeding during labor and the pain during labor. Meanwhile, it has the potential to improve neonatal outcomes.
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Copy and paste a formatted citation
Spandidos Publications style
Chen Y, Wang Z, Liu H, Wu J, Qin J, Li J, Wu D and Jiang H: Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery. Exp Ther Med 27: 5, 2024.
APA
Chen, Y., Wang, Z., Liu, H., Wu, J., Qin, J., Li, J. ... Jiang, H. (2024). Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery. Experimental and Therapeutic Medicine, 27, 5. https://doi.org/10.3892/etm.2023.12292
MLA
Chen, Y., Wang, Z., Liu, H., Wu, J., Qin, J., Li, J., Wu, D., Jiang, H."Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery". Experimental and Therapeutic Medicine 27.1 (2024): 5.
Chicago
Chen, Y., Wang, Z., Liu, H., Wu, J., Qin, J., Li, J., Wu, D., Jiang, H."Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery". Experimental and Therapeutic Medicine 27, no. 1 (2024): 5. https://doi.org/10.3892/etm.2023.12292
Copy and paste a formatted citation
x
Spandidos Publications style
Chen Y, Wang Z, Liu H, Wu J, Qin J, Li J, Wu D and Jiang H: Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery. Exp Ther Med 27: 5, 2024.
APA
Chen, Y., Wang, Z., Liu, H., Wu, J., Qin, J., Li, J. ... Jiang, H. (2024). Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery. Experimental and Therapeutic Medicine, 27, 5. https://doi.org/10.3892/etm.2023.12292
MLA
Chen, Y., Wang, Z., Liu, H., Wu, J., Qin, J., Li, J., Wu, D., Jiang, H."Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery". Experimental and Therapeutic Medicine 27.1 (2024): 5.
Chicago
Chen, Y., Wang, Z., Liu, H., Wu, J., Qin, J., Li, J., Wu, D., Jiang, H."Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery". Experimental and Therapeutic Medicine 27, no. 1 (2024): 5. https://doi.org/10.3892/etm.2023.12292
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