Effect of upright and ambulant positions versus lying down during the active first stage of labor on birth outcomes among nulliparous women: randomized controlled clinical trial

Ibrahim, Heba A; Said, Hanan Ibrahim Ibrahim; Elgzar, Wafaa T

doi:10.2478/fon-2020-0035

Cited by 4 publications

(3 citation statements)

References 25 publications

(33 reference statements)

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“…This directs the fetal head into the pelvic inlet and applies direct pressure to the cervix which stimulates cervical dilatation. This result is in line Ibrahim H (2020) (Ibrahim et al, 2020 ) who found with significant differences (P < 0.05) were observed between the study and control groups in relation to cervical dilation .…”

Section: Discussionsupporting

confidence: 90%

Effect of an Ergonomic Ankle Support for Squatting Position on Labor progress and maternal outcome

Ahmed

Allam

Hassan

2021

Egyptian Journal of Health Care

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Introduction: Postural changes can be one of the simplest ways of promoting labor, as women can use them while remaining in bed, if medically indicated. Aim of the study to evaluate, the effect of an ergonomic ankle support for squatting position on progress of labor and maternal outcome among primiparae women. Design: A quasi-experimental research design was utilized. Subjects: A convenience study subject of (80) women were selected from EL-Shatby Maternity University Hospital. Tools: four tools were used by the researchers to collect the necessary data: Tool I: basic data structured interview schedule, Tool II: Partograph, Tool III: Maternal Outcome Observational Checklist and Tool IV: Cardiotocography (CTG). Results: There was highly a statistically significant differences between both groups (P=0.000) from the 1st to the 6th hour in relation to frequency, duration and intensity of uterine contraction. Mean cervical effacement demonstrated highly statistically significant difference (P=0.000) among the study and the control groups from the 1st to the 6th hours. Furthermore, highly a statistically significant difference was found between the study subjects' mean duration of the 1st stage of labor (P<0.000). Conclusion: it can be concluded that assuming squatting position with ergonomic ankle support for during the active phase of labor was more effective in accelerating progress of labor among the study group in terms of: stronger uterine contractions, faster cervical dilatation and effacement, faster fetal head descent and shorter duration of the three stages of labor. Recommendations: Squatting Position with ergonomic ankle support position should be advocated as one of the significant modalities to manage labor pains, Upright positions, especially Squatting Position with ergonomic ankle support position, during the first stage of labor need to be incorporated into antenatal care activities and Laboring women should be encouraged to assume upright (Squatting Position with ergonomic ankle support) position during the first stage of labor to control pain, facilitate labor as well as to promote self-control and attain more satisfactory birthing experience.

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Section: Discussionsupporting

confidence: 90%

Effect of an Ergonomic Ankle Support for Squatting Position on Labor progress and maternal outcome

Ahmed

Allam

Hassan

2021

Egyptian Journal of Health Care

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“…Através de um estudo quase-experimental realizado no Egipto, o qual comparou o efeito das posições verticais versus posições reclinadas em 100 parturientes, apurou-se que a adoção de posições verticais durante o primeiro estádio do trabalho de parto é eficaz na redução dos scores de dor, no aumento da frequência, intensidade e duração das contrações uterinas, na melhoria da progressão da dilatação cervical e descida da cabeça fetal, bem como na duração do primeiro, segundo e terceiro estádios do trabalho de parto 23 . Noutro estudo clínico experimental, também realizado no Egipto, que comparou o efeito das posições verticais e deambulação versus posições de decúbito na cama numa amostra de 150 parturientes, apresentou resultados que corroboram os resultados apresentados por Emam & Al-Zahrani 23 , refletindo a eficácia da adoção de posições verticais e da deambulação no encurtamento do primeiro estádio do trabalho de parto 24 .…”

Section: Apresentação E Discussão Dos Resultadosunclassified

“…Na sua maioria os estudos incluíram parturientes nulíparas17,18,19,20,21,22,23,24,25,27 , de baixo risco17,18,20,21,22,24,25,27 , com gravidez de termo18,20,21,22,23,24 e com feto único18,20,21,22,23,24,25 .Nos artigos analisados, as posições reclinadas/deitadas consideradas foram a posição supina17,23,24,25 , semi-reclinada na cama17,23,25 e posição de decúbito lateral23,25 . No que respeita às posições verticais/mobilidade consideraram-se a posição de pé20,23,24,25,27 , sentada19,20,21,…”

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Influência da mobilidade e posturas verticais na duração do primeiro estádio do trabalho de parto: revisão integrativa

Zangão

Lobão

2023

APEO

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Enquadramento: O trabalho de parto é um processo inimitável, único e emocionante para a mulher que o experiencia. Vários organismos nacionais e internacionais recomendam a mobilidade e adoção de posturas verticais, como práticas benéficas na dinâmica do primeiro estádio do trabalho de parto. Objetivo: Identificar a evidencia científica sobre a influência da mobilidade e adoção de posturas verticais na duração do 1º estádio do trabalho de parto. Método: Realizou-se uma revisão integrativa da literatura, através da pesquisa em bases de dados bibliográficas online. Dois revisores independentes avaliaram a relevância dos artigos, a extração e síntese dos dados. Resultados: Da pesquisa (337 artigos) obtiveram-se doze artigos para análise, a qual demonstrou quase com unanimidade que a mobilidade materna e a adoção de posturas verticais durante o primeiro estádio do trabalho de parto encurtam a duração desse estádio. Conclusão: Apesar do consenso encontrado, a heterogeneidade dos estudos analisados quanto ao número de participantes e tipo de intervenções, requer atenção na interpretação dos resultados e aponta para a necessidade de mais estudos sobre a temática.

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Examining the impact of upright and recumbent positions on labor outcomes in Saudi Arabia: A quasi-experiment

Aryani¹,

Orabi²,

Fouly³

2022

Belitung Nurs J

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Background: Helping the woman to adopt a comfortable position during childbirth significantly affects labor changes and pain management. However, there is a lack of consensus on the impacts of different childbirth positions on labor outcomes. In addition, a scarce of studies have assessed the effects of the upright and recumbent positions on delivery outcomes, especially in the Kingdom of Saudi Arabia. Objective: This study aimed to examine and compare the influence of upright and recumbent childbirth positions on birth outcomes. Methods: The setting was the childbirth unit at East Jeddah Hospital from November 2020 to March 2021. The research design was quasi-experimental, including 300 women in labor under 18-45 years. The sample includes two equal groups of 150 women: upright (experiment) and recumbent (comparison) position groups. Three tools were used to collect data: a structured interviewing questionnaire, the modified WHO partograph, and the Wong-Baker FACES® pain rating scale. Descriptive statistics, chi-square, independent t-test, and paired t-test were used for data analysis. Results: Women in the recumbent position spent a longer duration in the first, second, and third stages of childbirth and had higher pain scores and less satisfaction with the assumed position than women in the upright position, with a highly significant difference (p <0.001). Conclusion: Laboring women in upright positions experienced faster progress of labor, shorter duration of childbirth, less pain, and higher satisfaction than those assumed recumbent positions. This study serves as an input for midwives and nurses to enable them to offer appropriate advice to improve intrapartum care. In addition, educational programs targeting pregnant women about the positive impacts of upright position on women’s birth experience are encouraged.

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Effect of upright and ambulant positions versus lying down during the active first stage of labor on birth outcomes among nulliparous women: randomized controlled clinical trial

Cited by 4 publications

References 25 publications

Effect of an Ergonomic Ankle Support for Squatting Position on Labor progress and maternal outcome

Effect of an Ergonomic Ankle Support for Squatting Position on Labor progress and maternal outcome

Influência da mobilidade e posturas verticais na duração do primeiro estádio do trabalho de parto: revisão integrativa

Examining the impact of upright and recumbent positions on labor outcomes in Saudi Arabia: A quasi-experiment

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