Gentle Assisted Pushing (GAP) Training Course

Gentle Assisted Pushing Training Courses were held in East London on three occasions during 2014:  16 July at Cecilia Makiwane Hospital, Mdantsane and on 21 July and 23 July 2014 at The Health Resource Centre, behind Frere Hospital, East London.

85 ECRU staff, Nurses and Midwives from East London and surrounding clinics attended. Participants were shown a video and trained on principles of the procedure. It was demonstrated how pressure should be applied for the full duration of each uterine contraction, not exceeding thirty seconds.

This study will offer an alternative method of supporting women during birth and improving overall quality of care. Pregnant women recruited will receive extra attention and support during birth.

The objective of the study is to evaluate the use of a gentle method of applying fundal pressure on the upper part of the uterus in the direction of the birth canal, on reducing the mean time of delivery and associated neonatal and maternal complications.

It provides the potential to expediate difficult second stage labour at all levels of care.

The Gentle Assisted Pushing Study is a multicentre randomized controlled trial of gentle assisted pushing in the upright posture compared  with routine practice to reduce prolonged second stage of labour.

The study will run from October 2014 to November 2015.