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Nature Reviews Urology 2, 312 (1 July 2005) | doi:10.1038/ncpuro0216

Coached maternal pushing might cause postpartum pelvic floor dysfunction

Schaffer JI et al. (2005) A randomized trial of the effects of coached vs uncoached maternal pushing during the second stage of labor on postpartum pelvic floor structure and function. Am J Obstet Gynecol 192: 1692–1696 The practice of coaching maternal pushing during the second stage of labor is widespread, yet no studies to date have ever investigated the impact of this practice on postpartum pelvic floor function.