Comparison of M and Spontaneous Pushing During Second Stage of Labor on Postpartum Fatigue in Primiparous Women

Postpartum fatigue increases incidence of postpartum depression. This study accomplished with aim to compare managed and spontaneous pushing during second stage of labor on postpartum fatigue in nulliparous women in Ayatollah Taleghani Hospital in Arak in 2010. Methods and Materials: In this clinical trial research 104 nulliparous women were randomly allocated in two groups as a managed and spontaneous pushing. when contraction is started، the mother breath deeply and force with keep breathing to 10 numbers. Fatigue severity determined 1 and 24 hours after delivery with standard questionnaire. Data was analyzed by using Mann–Whitney U and Chi-square tests. Mean duration of first and second stage of labor in two groups was not statistically significant difference. Fatigue severity in the 1 and 24 hour after delivery between the two groups was statistically significant (p=0. 004، p=0. 001). The difference of fatigue score between the two groups was statistically significant that respectively in managed pushing and spontaneous pushing 1 hour after delivery 30. 19±10. 64 and 24. 17±10. 68 (p=0. 005) and 24 hour after delivery 18. 75±9. 28 and 10. 25±5. 5 (p=0. 001). spontaneous pushing results in less fatigue in the first and 24 hours after delivery than another method. we recommend using this method in second stage of labor because of the importantance of maternal role and newborn care in this time.