JAMA October 2018 PMID 30304425

Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia: A Randomized Clinical Trial.

Alison G Cahill, Sindhu K Srinivas, Alan T N Tita, Aaron B Caughey, Holly E Richter, W Thomas Gregory, Jingxia Liu, Candice Woolfolk, David L Weinstein, Amit M Mathur, George A Macones, Methodius G Tuuli

Mentions

11
Peak: 3 in Apr 2019
across 4 sources since Oct 2018

Extended reach

34,589
potential audience

Total likes

18

Video views

1,640

Mentions per month

Oct 2018 – Aug 2025

Where it's discussed

  • X / Twitter6 posts
  • YouTube2 videos
  • News2 articles
  • Blogs1 articles

AI synopsis

What people are saying

The overall tone reflects moderate curiosity, with discussions focusing on promoting access to the publication, such as mentions like 'visit booth to pick up the article' or simply referencing the study title, suggesting that participants are interested but not deeply analyzing the research findings or implications.

AgreementNeither agree nor disagree

Discussions show neutrality, with participants acknowledging the study's findings without strong opinions for or against.

InterestModerate interest

Participants display moderate curiosity, mainly referencing the article's title or promoting it, indicating some engagement but limited detailed analysis.

EngagementNeutral engagement

Most comments are surface-level, sharing links or brief mentions, rather than in-depth critiques or discussions.

ImpactNeutral impact

The discussions seem to have minimal influence beyond awareness, with no indication of widespread practice change or critical debate.

Abstract in brief

  • The study investigated whether immediate or delayed pushing during the second stage of labor affects the chances of a spontaneous vaginal delivery and maternal or neonatal health outcomes.
  • Results showed no significant difference in the rates of spontaneous vaginal delivery or most maternal and neonatal complications between the immediate pushing group and the delayed pushing group.
  • The findings suggest that waiting 60 minutes to start pushing does not improve delivery outcomes compared to immediate pushing in women receiving neuraxial analgesia during labor.

Top posts

Most liked on X and Bluesky
JAMA Network
@JAMANetwork · X

It's our final day at #ACOG19. Visit booth 1051 to pick up "Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia: A Randomized Clinical Trial" https://t.co/6QDXFmDj7t 10.1001/jama.2018.13986

May 5, 2019 · 19,839 followers View post →
Dr. Ron George
@Ron_George · X

RT @Ron_George: Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial…

Apr 27, 2019 · 4 shares · 8,582 followers View post →
KristopherMaday PA-C
@PA_Maday · X

Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia https://t.co/YLTWnp2igz https://t.co/QEckgdpS7y

Feb 3, 2019 · 2,441 followers View post →
CHN390 MD
@cihan390 · X

RT @Ron_George: Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial…

Apr 25, 2019 · 4 shares · 988 followers View post →
umber agarwal
@MFM_OBS · X

@BICSoc https://t.co/SBS91PfMbu Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia A Randomized Clinical Trial

Mar 24, 2019 · 838 followers View post →
Laurie Chalifoux
@lchalifo2 · X

RT @Ron_George: Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial…

Apr 25, 2019 · 4 shares · 208 followers View post →

All mentions

JAMA Network
@JAMANetwork · X

It's our final day at #ACOG19. Visit booth 1051 to pick up "Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia: A Randomized Clinical Trial" https://t.co/6QDXFmDj7t 10.1001/jama.2018.13986

May 5, 2019 · 19,839 followers View post →
Dr. Ron George
@Ron_George · X

RT @Ron_George: Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial…

Apr 27, 2019 · 4 shares · 8,582 followers View post →
CHN390 MD
@cihan390 · X

RT @Ron_George: Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial…

Apr 25, 2019 · 4 shares · 988 followers View post →
Laurie Chalifoux
@lchalifo2 · X

RT @Ron_George: Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial…

Apr 25, 2019 · 4 shares · 208 followers View post →
umber agarwal
@MFM_OBS · X

@BICSoc https://t.co/SBS91PfMbu Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia A Randomized Clinical Trial

Mar 24, 2019 · 838 followers View post →
KristopherMaday PA-C
@PA_Maday · X

Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia https://t.co/YLTWnp2igz https://t.co/QEckgdpS7y

Feb 3, 2019 · 2,441 followers View post →
First and Second Stage Labor Management - ACOG Clinical ...
News

JAMA 2018;320:1444–54. doi: 10.1001/jama.2018.13986 controlled trials. Eur J Obstet Gynecol Reprod Biol 2019;242: 94. Shaffer BL, Cheng YW, Vargas JE ...

Dec 13, 2025 View →
First and Second Stage Labor Management-Manejo Del Parto en La ...
News

JAMA 2018;320:1444–54. doi: 10.1001/ sistemática y metanálisis de ensayos controlados aleatorios. Eur J Obstet jama.2018.13986. Gynecol Reprod Biol 2019;242 ...

Dec 13, 2025 View →
Is 'don't push yet' bad advice for women in labor? - Futurity
Blogs

Louis funded the research. Source: Washington University in St. Louis · Original Study DOI: 10.1001/jama.2018.13986. Related. C-sections less ...

Oct 15, 2018 View →