Postures maternelles pendant le travail : description et interférence avec l'analgésie péridurale

Ducloy-Bouthors, A.-S.; Gasquet, B. De; Davette, M.; Cuisse, M.

doi:10.1016/j.annfar.2006.03.024

Cited by 7 publications

(2 citation statements)

References 8 publications

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“…Study examining lying on side versus lying on back Cohen 2002 No outcomes relevant to the review reported. COMET 2001 The trial compared low-dose combined spinal epidural and low-dose infusion techniques and traditional epidural techniques Danilenko-Dixon 1996 The purpose of this study was to compare cardiac output after epidural analgesia in both positions Diaz 1980 This study use quasi-randomised group allocation, but more than a third of the experimental group were excluded from the analysis; women that did not comply with the protocol were excluded post randomisation Divon 1985 No data relevant to the review were reported. Outcomes - BP, uterine work and beat to beat variability Ducloy-Bouthors 2006 Outcomes relevant to the review not reported Hemminki 1983 In this study the comparison was between two management policies rather than two different treatments.One group was nursed in bed and one group was encouraged to mobilise but there were also other differences in the treatment the two groups received which may have had an effect on outcomes. Women nursed in bed had routine amniotomy, women in the ambulant group did not; monitoring was also different in the two groups.…”

Section: Characteristics Of Included Studies [Ordered By Study Id]mentioning

confidence: 99%

Maternal positions and mobility during first stage labour

Lawrence¹,

Lewis²,

Hofmeyer³

et al. 2009

Cochrane Database of Systematic Reviews

134

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Section: Characteristics Of Included Studies [Ordered By Study Id]mentioning

confidence: 99%

Maternal positions and mobility during first stage labour

Lawrence¹,

Lewis²,

Hofmeyer³

et al. 2009

Cochrane Database of Systematic Reviews

134

View full text Add to dashboard Cite

show abstract

“…A relative disadvantage of this technique is the organisation of equipment for the mother (infusion, epidural, electronic blood pressure) and fetus (heart monitoring). Regarding the possible effect of the hands and knees’ position on the epidural anaesthesia, a French study conducted by anaesthetists showed that hyperflexion at the hips did not influence the expected epidural analgesia levels [23]. …”

Section: Introductionmentioning

confidence: 99%

Maternal positioning to correct occipito-posterior fetal position in labour: a randomised controlled trial

Guittier

Othenin‐Girard

Irion

et al. 2014

BMC Pregnancy Childbirth

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BackgroundThe occipito-posterior (OP) fetal head position during the first stage of labour occurs in 10-34% of cephalic presentations. Most will spontaneous rotate in anterior position before delivery, but 5-8% of all births will persist in OP position for the third stage of labour. Previous observations have shown that this can lead to an increase of complications, such as an abnormally long labour, maternal and fetal exhaustion, instrumental delivery, severe perineal tears, and emergency caesarean section. Usual care in the case of diagnosis of OP position is an expectant management. However, maternal postural techniques have been reported to promote the anterior position of the fetal head for delivery. A Cochrane review reported that these maternal positions are well accepted by women and reduce back pain. However, the low sample size of included studies did not allow concluding on their efficacy on delivery outcomes, particularly those related to persistent OP position. Our objective is to evaluate the efficacy of maternal position in the management of OP position during the first stage of labour.Methods/designA randomised clinical trial is ongoing in the maternity unit of the Geneva University Hospitals, Geneva, Switzerland. The unit is the largest in Switzerland with 4,000 births/year. The trial will involve 438 women with a fetus in OP position, confirmed by sonography, during the first stage of the labour. The main outcome measure is the position of the fetal head, diagnosed by ultrasound one hour after randomisation.DiscussionIt is important to evaluate the efficacy of maternal position to correct fetal OP position during the first stage of the labour. Although these positions seem to be well accepted by women and appear easy to implement in the delivery room, the sample size of the last randomised clinical trial published in 2005 to evaluate this intervention had insufficient power to demonstrate clear evidence of effectiveness. If the technique demonstrates efficacy, it would reduce the physical and psychological consequences of complications at birth related to persistent OP position.Trial registrationClinicalTrials.gov, http://www.clinicaltrials.gov: (no. NCT01291355).

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Maternal positions and mobility during first stage labour

Lawrence

Lewis

Hofmeyr

et al. 2013

Cochrane Database of Systematic Reviews

225

160

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There is clear and important evidence that walking and upright positions in the first stage of labour reduces the duration of labour, the risk of caesarean birth, the need for epidural, and does not seem to be associated with increased intervention or negative effects on mothers' and babies' well being. Given the great heterogeneity and high performance bias of study situations, better quality trials are still required to confirm with any confidence the true risks and benefits of upright and mobile positions compared with recumbent positions for all women. Based on the current findings, we recommend that women in low-risk labour should be informed of the benefits of upright positions, and encouraged and assisted to assume whatever positions they choose.

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Postures maternelles pendant le travail : description et interférence avec l'analgésie péridurale

Cited by 7 publications

References 8 publications

Maternal positions and mobility during first stage labour

Maternal positions and mobility during first stage labour

Maternal positioning to correct occipito-posterior fetal position in labour: a randomised controlled trial

Maternal positions and mobility during first stage labour

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