الفهرس 
Abstract
Labor and BirthOnly 14 pages are availabe for public view
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Abstract
The aim of this study was to evaluate the effect of applying of spontaneous pushing technique during second Stage of labor on early postpartum fatigue. Methods: A quasi- experimental research design was used to carry out this study at the labor and delivery unit of Mansoura University Hospital on 100 primigravida women at ≥37 gestational weeks, who were selected by purposive sampling technique. They were free from any medical and obstetric problems, can read and write. They were assigned either to the control or intervention group (n= 50 per each group). The intervention group had received spontaneous pushing during second stage of labor, while the control group had received the directive pushing technique. Four tools for data collection were used: an interviewing questionnaire schedule, Apgar score for newborn assessment, Visual analogue scale for fatigue and women’s satisfaction questionnaire. Results: The study showed significant different between the two groups regarding the duration of second stage longer with directed pushing ,newborn health status & Apgar score(7.8 ±1 versus 4 ±1.4 respectively, p<0.001). Also show significant difference between two group in VAS of 2-and 24 hours postpartum fatigue scores early postpartum fatigue were reduce among spontaneous pushing group. Women expressed greater satisfaction with spontaneous pushing (98% versus 44% respectively, p<0.001).Conclusion: The findings of this study discovered that spontaneous pushing in the second stage is important to decrease postpartum fatigue. Recommendation: Educating women about the importance of spontaneous pushing technique and we have to encourage them to do spontaneous pushing in the second stage to decrease postpartum fatigue& improve women’s satisfaction.