Pushing Techniques Used by Midwives When Providing Second Stage L
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Pushing Techniques Used by Midwives When Providing Second Stage L
Marquette Universitye-Publications(fl)MarquetteDissertations (2009 ■)Dissertations, 'lheses, and Professional ProjectsPushing Techniques Used by Midwi Pushing Techniques Used by Midwives When Providing Second Stage Lives when Providing Second Stage Labor CareKathryn OsborneMarquette UniveriitỵRecommended CitationOsborne, Kathryn, ■ Pushing Techniques Used by Midwives When Providing Second Stage Labor Care’ (2010). DKMvrarwj (2009 -).Paper 44.http://epublKatlons.marquette.edu/dissertations_mu/44PUSHING TECHNIQUE Pushing Techniques Used by Midwives When Providing Second Stage LS USED BY MIDWIVES WHEN PROVIDING SECOND STAGE LABOR CAREbyKathryn Osborne. BSN MSN CNMA Dissertation Submitted to the Faculty of the Graduate School.Pushing Techniques Used by Midwives When Providing Second Stage L
Marquette University.In Partial Fulfillment of the Requirements for the Degree of Doctor of PhilosophyMilwaukee. Wisconsin40299ABSTRACTPUSHING TECHNIQMarquette Universitye-Publications(fl)MarquetteDissertations (2009 ■)Dissertations, 'lheses, and Professional ProjectsPushing Techniques Used by Midwi Pushing Techniques Used by Midwives When Providing Second Stage Ls that spontaneous pushing during the second stage of labor results in belter outcomes than directed pushing, which usually involves repeated use of the Valsalva maneuver. However, birth attendants in the United States (U.S.) continue to use directive methods when caring tor women in the second stag Pushing Techniques Used by Midwives When Providing Second Stage Le of labor. This study used quantitative methods with the Theory of Diffusion of Innovations as a framework to identify and describe the practices usePushing Techniques Used by Midwives When Providing Second Stage L
d by certified nurse-midwives and certified midwives, practicing in the U.S., when caring for women in second stage labor. Data were gathered using a Marquette Universitye-Publications(fl)MarquetteDissertations (2009 ■)Dissertations, 'lheses, and Professional ProjectsPushing Techniques Used by Midwi Pushing Techniques Used by Midwives When Providing Second Stage Lterature regarding what is known about pushing methods used during second stage labor is reviewed, as well as the philosophical underpinnings and theoretical framework of the present study. Findings revealed that midwives provide care during second stage labor that is primarily supportive of women’s Pushing Techniques Used by Midwives When Providing Second Stage L physiologic urge to bear down. When midwives use directive methods, they do so as an intervention to prevent potential problems. Further, midwives ofPushing Techniques Used by Midwives When Providing Second Stage L
fer “supportive direction" in response to cues they receive from women in labor.iACKNOWLEDGMENTSKathryn Osborne, BSN MSN CNMI would like to extend speMarquette Universitye-Publications(fl)MarquetteDissertations (2009 ■)Dissertations, 'lheses, and Professional ProjectsPushing Techniques Used by Midwi Pushing Techniques Used by Midwives When Providing Second Stage Lover the last several years. Their willingness to share their time and wisdom afforded me the opportunity to approach the conduct and reporting of this research with new ways of thinking about scholarly inquiry. I am especially grateful to Dr. Lisa Hanson, who served as my committee Chair, and who p Pushing Techniques Used by Midwives When Providing Second Stage Lrovided me with invaluable (and timely) feedback and mentorship throughout the course of my doctoral education. In addition to encouraging me to takePushing Techniques Used by Midwives When Providing Second Stage L
on this study. Dr. Hanson provided just enough direction to keep me on the correct path (and find my way back when I strayed), encouragement when I waMarquette Universitye-Publications(fl)MarquetteDissertations (2009 ■)Dissertations, 'lheses, and Professional ProjectsPushing Techniques Used by Midwi Pushing Techniques Used by Midwives When Providing Second Stage L a new member of the scientific community.I would like to thank Dr. Kathleen Thompson for the guidance and assistance she provided as my statistical consultant. I also thank Dr. Susan Stone, the Dean of the Frontier School of Midwifery and Family Nursing for providing financial support and a work en Pushing Techniques Used by Midwives When Providing Second Stage Lvironment that allowed me the time I needed to take on this scholarly endeavor. I am grateful to have had the opportunity to learn about survey researPushing Techniques Used by Midwives When Providing Second Stage L
ch from a leading expert in the field. Dr. Nora Schaeffer. And I thank the faculty of the College of Nursing at Marquette University for helping me toMarquette Universitye-Publications(fl)MarquetteDissertations (2009 ■)Dissertations, 'lheses, and Professional ProjectsPushing Techniques Used by Midwi Pushing Techniques Used by Midwives When Providing Second Stage Lovided funding for this research, including the Frontier Nursing Service Foundation. The Delta Gamma Chapter of Sigma Theta Tau International, and the Wisconsin Nurses Association.I would also like to thank my classmates for the countless hours we spent together uncovering new knowledge. Working wit Pushing Techniques Used by Midwives When Providing Second Stage Lh them enriched my education in many ways and taught me that the process of inquiry really does occur best when conducted with individuals who view phPushing Techniques Used by Midwives When Providing Second Stage L
enomena from multiple perspectives.I am especially grateful for the midwives who participated in the focus groups, developmental interviews and the naMarquette Universitye-Publications(fl)MarquetteDissertations (2009 ■)Dissertations, 'lheses, and Professional ProjectsPushing Techniques Used by Midwi Pushing Techniques Used by Midwives When Providing Second Stage Lamily who cheered me on and offered words of encouragement when I needed them most. I thank my mother, Carolyn Splett for instilling in me very early in my life, a passion for keeping birth normal, and my father, Gilbert splett who taught me the importance of life-long learning. I thank my children. Pushing Techniques Used by Midwives When Providing Second Stage L Lindsay Lorang and Benjamin Osborne, for regularly reminding me that I was capable of doing this work, for providing the occasional diversion when IPushing Techniques Used by Midwives When Providing Second Stage L
needed one, and for remaining patient with me when I needed to focus on school.Marquette Universitye-Publications(fl)MarquetteDissertations (2009 ■)Dissertations, 'lheses, and Professional ProjectsPushing Techniques Used by MidwiMarquette Universitye-Publications(fl)MarquetteDissertations (2009 ■)Dissertations, 'lheses, and Professional ProjectsPushing Techniques Used by MidwiGọi ngay
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