Breast Stimulation in Low-Risk Primigravidas at Term: Does It
Aid in Spontaneous Onset of Labour and Vaginal Delivery? A Pilot
Study
Breast Stimulation in Low-Risk Primigravidas at Term: DoesIt Aid
in Spontaneous Onset of Labour and Vaginal Delivery?A Pilot
Study
Bunga dewanggi, S.Ked14712100Stase Obstetri & GinekologiRSUD
dr.Soediran Mangun Sumarso Wonogiri
Nilanchali Singh, Reva Tripathi, Yedla ManikyaMala, and Niharika
Yedla BioMed Research InternationalVolume 2014, Article ID 695037,
6 pages
Introduction Spontaneus onset of labour better fetal-maternal
outcomeInduction widely use to avoid postdatism Low risk
primigravida more need intervention Many nonpharmacologic methods
is use in different culture to cervical ripening since ages breast
massage more acceptable in indiaWith breast stimulation facilitate
releasing oxytosin from posterior pituitary cervical ripeningBreast
stimulation for induction lack of evidence efficacy & safety
???
Methods
Characteristic of sample
Both grups are similliarResult maternal
Result 6Result fetal
NO significant OUTCOME between controlled vs intervention
grupConclusion Critical appraisalBreast Stimulation in Low-Risk
Primigravidas at Term: Does It Aid in Spontaneous Onset of Labour
and Vaginal Delivery?A Pilot Study
PICOProblemLow risk primigravida with cephalic presentation,
36-38 week gestationInterventionBreast stimulationComparisonWithout
stimulationOutcomeSpontaneus onset of labor and vaginal delivery1
Did the study ask a clearly focused question?YESClearly focuzed on
population, sample, intervention, controled and outcome2Was this
randomized control trial (RCT) and was it appropriately so?YES200
patients were recruited and randomized into two groups of 100 each
by computer generated sequence3Were participants appropriately
allocated to intervention and control grups?YESParticipants are
divide into 2 grups : breast stimulation & no stimulation4Were
participants, staff and study personel blind to participants study
grup?CANT TELLNo explanation 5Were all of the participants who
entered the trial accounted for at its conclusion?NOThere is one
patient who missed follow up (controlled grup)6Were the
participants in all grups followed up and data collected in the
same way?YESFollow up and data collected was done on same time and
way (bishops + pelvic exam)7Did the study have enough participants
to minimize the play of change ?CANT TELLThe calculation of sample
wasnt explained8How are the results presented and what is the main
result ?RESULT are presented on tabel (maternal+fetal outcome),
main result are breast stimulation help servical ripening 9How
precise are the result ?With P-value < 0,05 (significant) the
result was precise to help me making decision of my patient10Should
policy or practice change as a result of the evidence obtained in
this trial ?YESThis evidence is applicable for my patient
