Date of Conferral

2023

Degree

Ph.D.

School

Nursing

Advisor

Mary T. Verklan

Abstract

Proper maternal positioning has been studied for many years and identified as a critical factor in reducing the risk of labor dystocia and Cesarean births. The Spinning Babies method is a nonpharmacological technique that helps to support a physiological delivery by assisting women with position changes throughout labor. However, there was no literature on the difference between the duration of labor or Cesarean section rates when utilizing the Spinning Babies exercises. This quantitative comparative study examined whether the Spinning Babies method was associated with the duration of the first and second stages of labor and the delivery outcome in low-risk nulliparous women. Rogers' diffusion of innovation theory and Reva Rubin's social support theory were used to understand the Spinning Babies method’s influence on labor duration and the delivery outcome in low-risk nulliparous women. Electronic medical records (EMRs) of 400 women who used the Spinning Babies method were compared to the EMRs of 858 women who did not use the Spinning Babies method to examine whether the Spinning Babies method was associated with the duration of labor and delivery outcome. It was found that the conventional way of laboring had a shorter duration of labor in the first and second stages of labor. However, 84% of women who used the Spinning Babies method delivered vaginally while 16% delivered by Cesarean section, compared to a vaginal delivery rate of 77% and a rate of 23% for women who did not use the Spinning Babies Method. The Spinning Babies method could help increase momentum for social change as nurses enhance their practice to include physiological birth concepts and principles to help promote vaginal birth and reduce first-birth Cesarean sections.

Download

Included in

Nursing Commons

Share

 
COinS