Title

Are there any benefits using the Valsalva manoeuvre during the second stage of labour?

Document Type

Journal Article

Publisher

All4Maternity

School

School of Nursing and Midwifery

RAS ID

28440

Comments

Originally published as: Gilsenan, S., & Geraghty, S. (2019). Are there any benefits of using the Valsalva manoeuvre during the second stage of labour? Practising Midwife, 22(1), 20-23.Original publication available here

Abstract

During the second stage of labour, many midwives working in busy maternity units arbitrarily direct women on how to push. This usually occurs with involuntary uterine contractions, but also when the woman may not feel contractions due to epidural anaesthesia. Women are often instructed by midwives to engage the Valsalva manoeuvre, which involves the woman straining abdominal muscles and controlling and holding the breath, closing the glottis, while pushing through a contraction.

The aim of this discussion paper is to explore whether there are any benefits to using the Valsalva manoeuvre during the second stage of labour.

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