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Comparison of the maternal experience and duration of labour in two upright delivery positions - a randomised controlled trial.
Mälardalen University, Department of Caring and Public Health Sciences.
Karolinska Institute, Danderyd Hospital, Stockholm, Sweden.
University of Uppsala, Uppsala, Sweden .
Karolinska Institute, Danderyd Hospital, Stockholm, Sweden.
2006 (English)In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, Vol. 113, no 2, p. 165-170Article in journal (Refereed) Published
Abstract [en]

Objective: To compare two upright delivery positions at the second stage of labour in healthy primiparous women with regard to duration of the second stage of labour and maternal experience. Design: A randomised controlled trial. Setting: A county hospital delivery ward. Sample: Primiparous subjects (n = 271) were randomly allocated to a kneeling (n = 138) or a sitting (n = 133) position during the second stage of labour. A postpartum questionnaire was answered by 264/271 women (97%) participating in the trial. Methods: Primiparous subjects were randomised to a kneeling or sitting delivery position during second stage of labour. Analysis was performed on an intention-to-treat basis. Main outcome measure: Duration of the second stage of labour. Results: A comparison of the duration of the second stage of labour (kneeling 48.5 minutes +/- 27.6 SD, sitting 41 minutes +/- 23.4 SD) revealed no significant difference between the groups. A sitting position during the second stage of labour was associated with a higher level of delivery pain (P < 0.01), a more frequent perception of the second stage as being long (P = 0.002), less comfort for giving birth (P = 0.03) and more frequent feelings of vulnerability (P = 0.05) and exposure (P = 0.02). There were no significant differences in the frequency of sphincter ruptures although a sitting position was associated with a higher degree of postpartum perineal pain (P < 0.001) (Table 3). Conclusion: Kneeling and sitting upright during the second stage of labour do not significantly differ from one another in duration of the second stage of labour. In healthy primiparous women, a kneeling position was associated with a more favourable maternal experience and less pain compared with a sitting position.

Place, publisher, year, edition, pages
2006. Vol. 113, no 2, p. 165-170
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:mdh:diva-3492DOI: 10.1111/j.1471-0528.2005.00824.xISI: 000234646800006Scopus ID: 2-s2.0-33644992256OAI: oai:DiVA.org:mdh-3492DiVA, id: diva2:116156
Available from: 2007-06-01 Created: 2007-06-01 Last updated: 2015-07-08Bibliographically approved

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CiteExportLink to record
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