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Key variables include: method of birth; length of labour; duration of pushing; evidence of obstructed labour; use of epidural, spinal or general anaesthesia; birth position, position of fetus in labour, fetal presentation, degree of perineal and other genital tract trauma, gestation, infant birthweight, and head circumference.
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Average duration of this pushing phase (Δtpush) was found equal to 137 s (Table 1).
Shorter duration of active pushing is known to increase the chances of a vaginal birth [ 18].
Fetal lactate concentrations correlate positively with the duration of active pushing at a rate about half that of the maternal lactate (1 mmol/L per 30 min) [ 42].
We unfortunately cannot comment on the duration of active pushing in the second stage, since we did not collect this information.
Stimulus duration, from its start to the moment of pushing the reaction button, was maximally about 4 s (time between start from 32°C to reaching a maximal threshold of about 28 or 36°C for cold respectively warmth).
Figure 10 Demonstration of pushing.
Figure 11 Playback of pushing.
Fig. 8 Duration of the push phase (* P < 0.05).
Table 3 summarizes the mean duration of the push and recovery phases and the total duration of a propulsion cycle in seconds for the different treadmill slopes.
Nurses commented that the timer display provided an easy visual reference without detracting from their ability to teach, monitor and care for patients throughout the duration of the push.
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