Influence of Ambulation during the First Stage of Labor on Labor Progress of Primi Parturients

Marzouk, Tyseer; Eid, Mohamed I

doi:10.21608/ejhc.2020.110407

Cited by 3 publications

(7 citation statements)

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“…The result of our study implies that laboring mothers who ambulating during AFSOL labor is 69% less likely to be complicated with dystocia of AFSOL compared to laboring mothers who are restricted in the bed. The result is consistent with prospective study done in, Egypt, Tunisia and India (34,35,47). The reason for these can be Ambulation helps for early descent of the fetus by gravity in uence during labor, increases uterine contraction intensity and frequency by increasing uterine blood ow in this way it helps for the progression of active labor.…”

Section: Discussionsupporting

confidence: 91%

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Incidence and Predictors of Dystocia of Active First Stage of Labor at Debremarkos Comprehensive Specialized Hospital Amhara, North West Ethiopia, 2022/2023

Nigussie,

Azanaw,

Shumye

2023

Preprint

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Background Dystocia of active first stage of labor `has a notable contribution to maternal and fetal and / or neonatal morbidity and mortality. It is a main reason for the increasing rate of cesarean delivery in the world. Majorities of the determinants of dystocia in active first stage of labor could be modifiable, and may vary across the settings and over time trend. So, contextual scientific studies in this regard are imperative for evidence-based interventions. However, there was a dearth of evidence about extent and contributing factors of dystocia of active first stage of labor in Ethiopia. Objective This study aimed to assess the incidence and predictors of dystocia of active first stage of labor among laboring women at debremarkos comprehensive specialized hospital Amhara, northwest Ethiopia, 2022/23. Methods Prospective cohort study was conducted among 656 laboring women from October 20 to January 4/2023. The study participants were selected by using a systematic random sampling technique. Data were collected through observation, interview using a pretested structured questionnaire, and document review. Both descriptive and inferential analyses were carried out. Binary Logistic Regression was fitted and the level of significance was declared based on Adjusted Odds Ratio (AOR) with its 95% Confidence Interval (CI) and p-value of ≤ 0.05. Result The overall incidence of dystocia of AFSOL was 35.3%( 95%CI: 31.9, 39.2). Induction of labor (AOR: 2.5; 95%CI: 1.23. 5.42), admitting of laboring mother with cervical dilation of < 4cm (AOR: 2.9; 95%CI: 1.72, 4.93), poor health care provider support (AOR: 7.5; 95%CI: 4.18, 13.67), and caffeine intake > 200mg (≥ 3cup of coffee) (AOR: 3.7; 95%CI: 1.80, 7.74), Drinking of linseed (AOR: 0.28; 95%CI: .14, .55), ANC follow up (AOR: .24; 95%CI: .09, .63), and ambulation during AFSOL (AOR: 0.31; 95%CI: .13, .69) were predictors of dystocia of active 1st stage of labor. Conclusion The incidence of DAFSOL was high. Having ANC follow up, eating/drinking of linseed at the onset of labor pain and ambulating during active first stage of labor, drinking of three or more cup of coffee per day during pregnancy, induction of labor, poor health care provider support during AFSOL and admitting of the laboring mothers while cervical dilation < 4cm were predictors of DAFSOL. Adopting WHO labor care guide and encouraging health care providers to practice evidence based practice regarding the management of active 1st stage of labor and good patient handling during the laboring process is recommended to minimize the diagnosis of DAFSOL and its unnecessary interventions.

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Section: Discussionsupporting

confidence: 91%

“…When the parturient moving around in 15 minute interval with 10 minuet duration and the cycle repeated at least 6times (34,35).…”

Section: Ambulationmentioning

confidence: 99%

Incidence and Predictors of Dystocia of Active First Stage of Labor at Debremarkos Comprehensive Specialized Hospital Amhara, North West Ethiopia, 2022/2023

Nigussie,

Azanaw,

Shumye

2023

Preprint

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“…3 Mobility of the mother during labour has been recognised as an important non-pharmacological intervention by various research studies. [4][5][6][7][8] One notable reference to mobility during childbirth comes from the work of Grantly Dick-Read, a British obstetrician who published 'Childbirth Without Fear' in 1933. 9 His ideas laid the foundation for future research and practices related to childbirth.…”

Section: Introductionmentioning

confidence: 99%

“…However, as the natural childbirth movement gained momentum in the 1960s and 1970s, researchers began to investigate the benefits of mobility and various birthing positions, and a number of studies have recognised the pivotal role of maternal mobility during labour in shaping parturition, maternal satisfaction and foetal outcomes. [4][5][6][7][8] Maternal mobility during labour enhances foetal and maternal outcomes through several physiological mechanisms. Upright positions, walking and, most importantly, movement encourage the foetus's descent due to gravity, thereby shortening the duration of labour.…”

Section: Introductionmentioning

confidence: 99%

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Mobility as an Effective Non-pharmacological Method for Parturition: A Pilot Study

Rathina,

Srivastava,

Rawat

2024

Nursing & Midwifery Research Journal

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Background: Childbirth is a transformative process. Modern healthcare offers pharmacological and non-pharmacological interventions for safe and improved childbirth experience. Studies have found that maternal mobility during the first stage of labour has a significant effect on maternal and child outcomes. A pilot study was done to find the effect of mobility during the first stage of labour on maternal satisfaction and foetal outcome. Method: An experimental study was done with 60 primigravida women with uncomplicated antenatal history reporting to the labour room of a tertiary care government hospital in Delhi chosen as study participants. Validated and reliable tools were used to measure labour, maternal and neonatal outcomes within 24 h post-delivery. Results: The results showed that there was an impact on mobility intervention during the first stage of labour on parturition ( p = .03) and significant maternal satisfaction ( p = .001). However, the neonatal outcome of both groups was not significant. Conclusion: Mobility was an effective non-pharmacological intervention for enhancing parturition and maternal satisfaction. Mobility during the first stage of labour can be recommended for practice guidelines for all midwives in the labour room as a protocol.

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Effect of Upright Position on Pain and Duration of the Active Phase of the First Stage of Labor among Women in Labor in the Work Area of Tasikmalaya TPMB

Imaniar,

Tatu Septiani Nurhikmah,

Sherly Laksmining

et al. 2023

EMB

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Prolonged labor is one of causes of maternal and infant death. Several causes of prolonged labor are inefficient uterine contractions, presentation or position of the fetus, inadequate pelvic bones or abnormalities of maternal soft tissues, which result in failure to progress in labor and an increase in the incidence of Caesarean section delivery. The upright position will encourage stronger and more efficient contractions, wherein gravity will occur to keep the baby's head pressed towards the lower uterine segment so as to help cervical dilation and shorten the duration of labor. Upright positions in the first stage of labor include walking, standing, sitting, half-sitting, kneeling, and crawling positions. This study aims to determine the effect of upright position compared to supine position on the level of pain and the duration of the active phase of the first stage of labor among primigravida women in labor. This was a quasi-experimental study with a post-test only design. There were 100 study samples who were assigned in the control group and the intervention group, consisting of 50 respondents, respectively. The study was conducted at the Tasikmalaya TPMB. Data collection was carried out for approximately 6 months on March-August 2022. The results showed that primigravida women in the active phase of the first stage of labor with upright position had a shorter duration of labor compared to those with supine position. Independent t test results obtained a p value equals 0.000 (p is less than 0.05). Such finding indicated a statistically significant difference. Based on the results of the data analysis, it can be concluded that there was a significant difference in the duration of the active phase of the first stage of labor between upright position and supine position among women in labor in the Work Area of Tasikmalaya TPMB.

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Influence of Ambulation during the First Stage of Labor on Labor Progress of Primi Parturients

Cited by 3 publications

References 0 publications

Incidence and Predictors of Dystocia of Active First Stage of Labor at Debremarkos Comprehensive Specialized Hospital Amhara, North West Ethiopia, 2022/2023

Incidence and Predictors of Dystocia of Active First Stage of Labor at Debremarkos Comprehensive Specialized Hospital Amhara, North West Ethiopia, 2022/2023

Mobility as an Effective Non-pharmacological Method for Parturition: A Pilot Study

Effect of Upright Position on Pain and Duration of the Active Phase of the First Stage of Labor among Women in Labor in the Work Area of Tasikmalaya TPMB

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