Why Deliver in the Supine Position?

Allahbadia, Gautam N.; Vaidya, Pratibha R

doi:10.1111/j.1479-828x.1992.tb01918.x

Cited by 24 publications

(25 citation statements)

References 10 publications

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“…6,17,19,21,22 Studies have failed to report significant difference in the caesarean section rate among women delivering in upright and supine position. [10][11][12][13][14]17,[22][23][24][25][26] Gupta et al also didn't find any significant reduction in the caesarean section rate, RR 1.22; 95% CI 0.81 to 1.81.…”

Section: Discussionmentioning

confidence: 99%

Upright kneeling position during second stage of labor: a pilot study

Dabral

Pawar

Bharti

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONThere is no ideal position for labour and delivery, the standard recommendation is to encourage and support the parturient to deliver in the position she feels most comfortable in.1,2 Although international guidelines advice against being recumbent or supine for long periods of time during labour, women are motivated to deliver in the supine position at most delivery centres in India. Women delivering in the supine position experience comparatively painful prolonged labors with increased incidence of foetal distress due to more aortocaval compression by the gravid uterus.1-5 However, supine position in the second stage of labour is favoured by most obstetricians as they are trained to take delivery in this position. It allows them to monitor the labour process better with ease of providing anaesthesia, enables them to give proper perineal support in the second stage of labour, and conduct operative vaginal deliveries.Upright labour positions have several physiological advantages over the supine position. Historically women were instinctively adopting upright positions for delivery as they experienced stronger, more efficient and less ABSTRACT Background: Women delivering in upright position have shorter labour due to efficient and stronger contractions with faster descent of foetal head. The present study aimed to find out effect of upright kneeling position in the second stage of labour on maternal and foetal outcome and assess patients' satisfaction. Methods: The study was carried out in a tertiary care hospital of North India from October 2012 to February 2014. Low risk women admitted in early labour were divided into two groups, women delivering in kneeling position and in supine position. The outcome measures studied were, duration of second stage of labour, mode of delivery, 2 nd degree perineal tears, Apgar scores at 5 minutes, NICU admission rate and patient satisfaction. Results: The mean duration of second stage of labour in kneeling group was shorter by 14.901 minutes. The rate of vaginal delivery was comparable for both primigravidas and multigravida in kneeling and supine groups, RR: 2.275, 95% CI (0.7872-6.5831) and RR: 1.633, 95% CI (0.393-6.775). Primigravidas had more 2 nd degree perineal tears in kneeling group as compared to supine, RR 4.191, 95% CI (1.54 to 11.41). No difference in Apgar scores >7 at 5 minutes was observed in both groups, however, significantly lesser babies in kneeling group were admitted in NICU, RR 0.246, 95% CI (0.079 to 0.761). There was no difference on comparing satisfaction scores of primigravidas and multigravida in both supine and kneeling position. Conclusions: Kneeling position reduces the duration of second stage of labour and NICU admissions.

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Section: Discussionmentioning

confidence: 99%

Upright kneeling position during second stage of labor: a pilot study

Dabral

Pawar

Bharti

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…The earliest studies were published in 1978 [2,8] and only two were performed in the last ten years [14,15]. All studies were published in English language and two were carried out in developing countries (India [13] and Brazil [15]). Randomization methods were not fully described in eight studies [2,8-14].…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies examined the mode of delivery [2,8-11,13-15]. The overall cesarean section rate was 5.5% for the intervention group and 5.6% for the control group.…”

Section: Resultsmentioning

confidence: 99%

Maternal position during the first stage of labor: a systematic review

et al. 2006

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“…Ce nombre peut sembler limité par comparaison aux études récentes ayant évalué la déam-bulation [6,7], cela est lié aux critères de sélection qui étaient très stricts et à la durée de l'étude relativement courte (cinq mois). Nous avons choisi nos parturientes parmi une population à faible risque afin d'amortir toute influence sur nos résultats ; en effet, l'influence de la présentation de siège, de la disproportion foetopelvienne et de la multiparité sur le déroulement du travail est bien établie [8,9]. Lawrence et al [7] dans leur Cochrane review ont essayé d'évaluer les effets de la déambulation par rapport à la position allongée durant la première phase du travail.…”

Section: Discussionunclassified

“…Dans l'étude de Roberts et Wodell [14] les femmes déambulaient jusqu'à la dilatation de 6 cm puis elles préfé-raient se reposer au lit. Nos résultats vont dans le même sens que ceux d'Allahbadia et Vaidya [9] qui ont montré que la déambulation permet de réduire la phase de dilatation de trois heures (23 % de la durée totale de cette phase). Cependant, Bloom et al [6] ont mené une étude très similaire à la notre, incluant 1067 parturientes randomisées en deux groupes (déambulation ; n = 536, position couchée ; n = 531).…”

Section: Discussionunclassified