simple nursing versus medical intervention measures for management of the third stage of labor

ABSTRACT

To explore the effect of Nursing versus Medical intervention measures for management of the third stage of labor. Quasi-experimental study. A purposive sample was used. It composed of 60 primpara women in the third stage of labor, their ages 20-35 years, free from obstetric or medical complication, in the third stage of labor. The study was carried out at delivery unit of Zagazig university maternity hospital. 1] An interviewing questionnaire for assessing the socio-demographic characteristics, obstetric history and labor assessment sheet .2] pictorial chart for assessment of post natal blood loss. Results Revealed that using both nipple stimulation and gourd method has a positive effect on the separation of the placenta, duration of the third stage of labor in cases of delayed placental separation more than the routine hospital care method .It was observed that nipple stimulation method was more effective in improving uterine contraction in cases of uterine atony, and blood loss was more less in the group used nipple stimulation than the control group Using of nipple stimulation and gourd methods are a safe methods promotes the placental separation, lessen the duration of the third stage of labor. Those methods can be useful in a maternity nurse practice in the management of the third stage of labor. Further researches are needed to expand data regarded to using nipple stimulation and gourd methods for management of the prolonged third stage of labor and retained placenta