Effect of maternal bearing-down cheering on labor outcomes (ผลของการเชียร์เบ่งคลอดต่อผลลัพธ์ของการคลอด)

Abstract

Teaching of bearing-down method and cheering during childbirth were performed in the hospitals in Thailand for many years without evidence-based of effectiveness. The aim of this study was to compare labor outcome between maternal bearing-down cheering and off-cheering. Fifty nulliparous pregnant women with low risk of complications who came to the labor room at HRH Princess Maha Chakri Sririndhorn Medical Center in Nakhon Nayok province were included in this study. They were divided into 2 groups: maternal bearing-down cheering and off-cheering, 25 cases in each group. Both groups were taught the same bearing-down method; however, only the former group was coached the rhythm of bearing-down by labor assistants. Labor outcomes including the duration of second stage of labor, neonatal birth weight and Apgar score were recorded. It was found that in maternal bearing-down cheering group, the mean of second stage of labor duration was 15.16±9.91 minutes. The mean of neonatal birth weight was 3055.60±57.09 grams. The means of Apgar score at 1st, 5th and 10th minutes were 8.36±1.29, 9.88±0.44 and 10±0, respectively. In the off-cheering group, the mean of second stage of labor duration was 15.60±12.70 minutes. The mean of neonatal birth weight was 3054±54.54 grams. The means of Apgar score at 1st, 5th and 10th minutes were 8.56±0.87, 9.88±0.33 and 10±0, respectively. Therefore, maternal bearing-down cheering was no significant effect on the duration of the second stage of labor and Apgar score.