Comparison of Delivery Outcomes in Nulliparous Women in Labor in both Physiological and Traditional Labor: A Randomized Clinical Trial.

Abstract

Abstract: Background & Purpose: Nowadays delivery of unnecessary medical interventions is presented which leads to adverse outcomes in mother and infant. This study compared delivery outcomes in nulliparous women in labor, in two group physical and traditional delivery. Materials & Methods: This study was one blind clinical trial on 370 nulliparous mothers who were selected as the study sample, was done in Talesh Shahid Noorani Hospital. Sample using software from Rand list and bock size four and six pieces were selected randomly, each envelope was referred pocket, type of intervention (physical or traditional deliver) is written inside the pocket, information through observation, interviews with the mother, experiment results and telephone follow –up have been completed and the contents of their files have been completed. In this study, data collection tools, including a checklist of five parts including: profile of subjects, assessment of first, second, third, fourth and ten days after delivery. Data with using SPSS (ver13) software and t test and chi square was used to analyze. Results: Results showed that fetal heart rate pattern in the first and second stage of labor in Group 1 (physiologic labor) was more normal range than in group 2 (traditional labor), and this difference was statistically significant (p<0.001). About first minute Apgar score in both groups there was not statistically significant difference (p=0.32), but in the fifth minute Apgar score was statistically significant difference (p<0.001). PH of Arterial blood gas (p=0.028), need for resuscitation at birth (p=0.072) and hospitalization rates in infants (p=0.019) were statistically significant between 2 groups. Type of delivery (vaginal delivery without episiotomy, vaginal delivery with episiotomy and cesarean section rate) between two groups was statistically significant difference (p<0.001). Also there was statistically significant difference about postpartum infection (p=0.009). Conclusion: Attention to the physiological process of labor and lack of need for medical interventions, we can reduce Maternal outcomes in Pregnant women and recommended that prenatal care educations have presented to all pregnant women about to normality of delivery and process of labor.