Influence of Ambulation during the First Stage of Labor on Labor Progress of Primi Parturients

Marzouk, Tyseer; Eid, Mohamed I

doi:10.21608/ejhc.2020.110407

Influence of Ambulation during the First Stage of Labor on Labor Progress of Primi Parturients

Document Type : Original Article

Authors

Tyseer Marzouk ¹
Mohamed I Eid ²

¹ Woman’s Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt

² Obstetrics and Gynaecology Medicine, Faculty of Medicine, Mansoura University, Egypt

10.21608/ejhc.2020.110407

Abstract

Background: The first labor stage is the longest. Progress of labor is usually assessed
by changes in cervical dilatation, the descent of the fetal head, and uterine contractions.
Normal labor progress might be attained by providing evidence-based practices. Ambulation
during labor is one of the practices that may affect the progress of labor. Aim: This study
aimed to assess the influence of ambulation during the first stage of labor on labor progress
of primi parturients. Methods: A quasi-experimental research design was conducted at the
Labor and Delivery unit, Mansoura University Hospital, Egypt. A purposive sample of 86
primi parturient mothers at the early active phase was allocated either to the control group < /div>
who received the usual labor care or to the ambulation group who were ambulated during the
active phase besides the usual care. Data were collected using a structured interview
schedule and the modified Partograph sheet. Results: The labor progressed faster in the
ambulation group compared to the control group giving a shorter active phase, second stage
and third stage of labor with a mean difference of 2.3 hours, 20.1 minutes, and 3.0 minutes
respectively; p < 0.001) and lower Cesarean Section deliveries (11.6% vs. 41.9% respectively;
p = 0.002). Conclusion: The current study hypotheses were accepted; where the ambulation
during the active phase of the first stage of labor was an effective intervention for enhancing
the labor progress compared to the usual care only. Thus, it is recommended for the primi
parturient mothers to ambulate at the early active phase of labor.

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