{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T13:56:25Z","timestamp":1774360585087,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":670,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>. To determine the effect of uterine fundal pressure on shortening the second stage of labor and on the fetal outcome. <jats:italic>Design<\/jats:italic>. Randomized controlled trial. <jats:italic>Setting<\/jats:italic>. Teaching and research hospital. <jats:italic>Sample<\/jats:italic>. One hundred ninety\u2010seven women between 37 and 42 gestational weeks with singleton cephalic presentation admitted to the delivery unit. <jats:italic>Methods<\/jats:italic>. Random allocation into groups with or without manual fundal pressure during the second stage of labor. <jats:italic>Main outcome measures<\/jats:italic>. The primary outcome measure was the duration of the second stage of labor. Secondary outcome measures were umbilical artery pH, HCO<jats:sub>3<\/jats:sub><jats:sup>\u2212<\/jats:sup>, base excess, pO<jats:sub>2<\/jats:sub>, pCO<jats:sub>2<\/jats:sub> values and the rate of instrumental delivery, severe maternal morbidity\/mortality, neonatal trauma, admission to neonatal intensive care unit, and neonatal death. <jats:italic>Results<\/jats:italic>. There were no significant differences in the mean duration of the second stage of labor and secondary outcome measures except for mean pO<jats:sub>2<\/jats:sub> which was lower and mean pCO<jats:sub>2<\/jats:sub> which was higher in the fundal pressure group. Nevertheless, the values still remained within normal ranges and there were no neonates with an Apgar score &lt;7 in either of the groups. <jats:italic>Conclusion<\/jats:italic>. Application of fundal pressure on a delivering woman was ineffective in shortening the second stage of labor.<\/jats:p>","DOI":"10.1080\/00016340902730326","type":"journal-article","created":{"date-parts":[[2009,1,26]],"date-time":"2009-01-26T22:27:39Z","timestamp":1233008859000},"page":"320-324","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["The effect of uterine fundal pressure on the duration of the second stage of labor: A randomized controlled trial"],"prefix":"10.1111","volume":"88","author":[{"given":"OLUS","family":"API","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MUGE","family":"EMEKSIZ BALCIN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"VEDAT","family":"UGUREL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MURAT","family":"API","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CEM","family":"TURAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ORHAN","family":"UNAL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"crossref","unstructured":"VerheijenEC RavenJH HofmeyrGJ.Fundal pressure for shortening the second stage of labour (Protocol).Cochrane Database of Systematic Reviews.2006 Issue 3. 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