ArticleJournal of obstetric, gynecologic, and neonatal nursing : JOGNN
Midwives' verbal support of nulliparous women in second-stage labor.
Article in Journal of obstetric, gynecologic, and neonatal nursing : JOGNN. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed, 13 citations in OpenAlex.
- What do we know about midwife-woman interactions during vaginal childbirth: a scoping review and thematic analysis.BMC pregnancy and childbirth · 2025Article
- Results of Induction of Labor with Prostaglandins E1 and E2 (The RIPE Study): A Real-World Data Analysis of Obstetrical Effectiveness and Clinical Outcomes of Pharmacological Induction of Labor with Vaginal Inserts.Pharmaceuticals (Basel, Switzerland) · 2023Article
- Understanding Elderspeak: An Evolutionary Concept Analysis.Innovation in aging · 2021Review
- Skilled health attendants' knowledge and practice of pain management during labour in health care facilities in Ibadan, Nigeria.European journal of midwifery · 2019Article
- Experiences of midwives on pharmacological and non-pharmacological labour pain management in Ghana.Reproductive health · 2017Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveTo describe how nurse-midwives verbally support nulliparous women during second-stage labor and document specific details of each second stage.
designDescriptive qualitative study.
settingA university hospital labor and delivery unit in the southwestern United States.
participantsNulliparous women (n = 14) older than age 18 and their attendant midwives (n = 9).
methodsA single research midwife observed the entire second stage of each woman and used a standardized data collection form to record spontaneous or directed pushing, position changes, open and closed glottis pushing. A digital audio recorder was employed to capture verbal communication between the midwife and laboring woman. The research midwife and two qualitative experts employed content analysis to analyze the audio transcripts and identify categories of verbal support.
resultsAnalysis revealed four categories of verbal support: affirmation, information sharing, direction, and baby talk. The vast majority of verbal communication by nurse-midwives consisted of affirmation and information sharing. Nurse-midwives gave direction for specific reasons. Women pushed spontaneously the majority of the time, regardless of epidural use.
conclusionNurse-midwives use a range of verbal support strategies to guide the second stage. Directive support was relatively uncommon. Most verbal support instead affirmed a woman's ability to follow her own body's lead in second-stage labor, with or without epidural.
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Registered trials
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