Effectiveness of valsalva bearing-down techniques during the second stage of labor on maternal and neonatal outcome among primigravida mothers

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Background: Maternal bearing-down efforts plays a vital role in the expulsive phase of labor. Various types of bearing-down efforts have got its own advantages and disadvantages on mother and fetus. The scholar personally felt that there is a need to investigate the best bearing-down technique with less complications to the mother and newborn. Objective: (1) To assess the effect of Valsalva bearing-down technique during the second stage of labor on maternal and neonatal outcomes among primigravida mothers admitted in selected hospitals of Pune city. (2) To assess the effect of spontaneous bearing-down technique (control group) during the second stage of labor on maternal and neonatal outcome among primigravida mothers admitted in selected hospitals of Pune city. (3) To compare the effectiveness of Valsalva bearing-down techniques and spontaneous bearing-down techniques and duration of the second stage of labor on maternal and neonatal outcome among primigravida mothers admitted in selected hospitals of Pune city Methods: In the present study, the quantitative research approach is applied and this approach is applied and preexperimental, posttest only control group design is used. The setting of the study was selected hospital of Pune. The sample size for the pilot study was forty, selected using a probability clustered sampling technique. The structured questionnaire and observation checklist were administered. To establish the reliability of the tool inter rater method was used. The scores were calculated and the reliability was established by the Kappa method, which was 0.90. Results: The analysis performed on the various components of maternal and neonatal outcome suggests that on comparison of the mean score of both technique valsalva bearing-down technique has more effectiveness and various components for good maternal and neonatal outcome. Conclusion: Valsalva bearing-down technique has various benefits toward the better health of the mother and the neonatal outcome, so it should be accepted as best clinical evidence-based practice.