Maternal position in the second stage of labour for women with epidural anaesthesia

Abstract

Analysis 1.7. Comparison 1 Upright position versus recumbent position, Outcome 7 Prolonged second stage, defined as pushing for more than 60 minutes (trial authors report 'duration of pushing phase' in minutes.. .. .. . Analysis 1.8. Comparison 1 Upright position versus recumbent position, Outcome 8

Effects of flexible sacrum positions during the second stage of labour on maternal and neonatal outcomes: A systematic review and meta‐analysis

“…Regarding blood loss during childbirth, previous studies also showed no clear difference among maternal positions (Deliktas & Kukulu, 2018;Gupta et al, 2017;Long & Lin, 2018;Peppe et al, 2018;Walker et al, 2018). As for other outcomes, no clear difference was spotted between groups concerning foetal and neonatal outcomes, which agreed with many previous studies (Bick et al, 2017;De Jonge et al, 2004;Gupta et al, 2017;Thies-Lagergren, Kvist, Sandin-Bojo, Christensson, & Hildingsson, 2013;Walker et al, 2018).…”

Effects of flexible sacrum positions during the second stage of labour on maternal and neonatal outcomes: A systematic review and meta‐analysis

“…Regarding blood loss during childbirth, previous studies also showed no clear difference among maternal positions (Deliktas & Kukulu, 2018;Gupta et al, 2017;Long & Lin, 2018;Peppe et al, 2018;Walker et al, 2018). As for other outcomes, no clear difference was spotted between groups concerning foetal and neonatal outcomes, which agreed with many previous studies (Bick et al, 2017;De Jonge et al, 2004;Gupta et al, 2017;Thies-Lagergren, Kvist, Sandin-Bojo, Christensson, & Hildingsson, 2013;Walker et al, 2018).…”

Birthing balls and peanut balls for labor pain, delivery duration, and mode of delivery: a meta-analysis of randomized controlled trials

“…The World Health Organization recommends non-pharmacological modalities, such as freedom of position, non-supine postures, and movements during labor and delivery, to improve perinatal outcomes ( Smith et al, 2018b ; WH Organization, 2018 ). Consistent with this recommendation, encouraging laboring women to perform upright positioning and increase maternal mobility has been shown to confer multiple benefits during labor, as evidenced by previous studies ( Hemmerich, Bandrowska & Dumas, 2019 ; Morales-Alvarado & Paredes-Pérez, 2024 ; Reitter et al, 2014 ; Walker et al, 2018 ).…”

Influence of Laboring People's Mobility and Positional Changes on Birth Outcomes in Low‐Dose Epidural Analgesia Labor: A Systematic Review with Meta‐Analysis

“…It should be noted that no detrimental effects were observed, so freedom of movement of people in labor with epidural analgesia should be supported as a safe choice. These results on mode of birth add to the findings of the Cochrane review published by Kibuka and Thornton in 2017 and its 2018 update, which focused on positions and not on mobility 13,35 . Although in 2018 the authors demonstrated no clear benefit of upright positions versus lying down in the second stage of labor, they did highlight the usefulness and benefit of positional changes in both lateral decubitus position compared with the supine posture 13 .…”

Effects of flexible sacrum positions during the second stage of labour on maternal and neonatal outcomes: A systematic review and meta‐analysis

“…Regarding blood loss during childbirth, previous studies also showed no clear difference among maternal positions (Deliktas & Kukulu, 2018;Gupta et al, 2017;Long & Lin, 2018;Peppe et al, 2018;Walker et al, 2018). As for other outcomes, no clear difference was spotted between groups concerning foetal and neonatal outcomes, which agreed with many previous studies (Bick et al, 2017;De Jonge et al, 2004;Gupta et al, 2017;Thies-Lagergren, Kvist, Sandin-Bojo, Christensson, & Hildingsson, 2013;Walker et al, 2018).…”

Birthing balls and peanut balls for labor pain, delivery duration, and mode of delivery: a meta-analysis of randomized controlled trials

“…The World Health Organization recommends non-pharmacological modalities, such as freedom of position, non-supine postures, and movements during labor and delivery, to improve perinatal outcomes ( Smith et al, 2018b ; WH Organization, 2018 ). Consistent with this recommendation, encouraging laboring women to perform upright positioning and increase maternal mobility has been shown to confer multiple benefits during labor, as evidenced by previous studies ( Hemmerich, Bandrowska & Dumas, 2019 ; Morales-Alvarado & Paredes-Pérez, 2024 ; Reitter et al, 2014 ; Walker et al, 2018 ).…”

Influence of Laboring People's Mobility and Positional Changes on Birth Outcomes in Low‐Dose Epidural Analgesia Labor: A Systematic Review with Meta‐Analysis

“…It should be noted that no detrimental effects were observed, so freedom of movement of people in labor with epidural analgesia should be supported as a safe choice. These results on mode of birth add to the findings of the Cochrane review published by Kibuka and Thornton in 2017 and its 2018 update, which focused on positions and not on mobility 13,35 . Although in 2018 the authors demonstrated no clear benefit of upright positions versus lying down in the second stage of labor, they did highlight the usefulness and benefit of positional changes in both lateral decubitus position compared with the supine posture 13 .…”

Effects of flexible sacrum positions during the second stage of labour on maternal and neonatal outcomes: A systematic review and meta‐analysis

“…Regarding blood loss during childbirth, previous studies also showed no clear difference among maternal positions (Deliktas & Kukulu, 2018;Gupta et al, 2017;Long & Lin, 2018;Peppe et al, 2018;Walker et al, 2018). As for other outcomes, no clear difference was spotted between groups concerning foetal and neonatal outcomes, which agreed with many previous studies (Bick et al, 2017;De Jonge et al, 2004;Gupta et al, 2017;Thies-Lagergren, Kvist, Sandin-Bojo, Christensson, & Hildingsson, 2013;Walker et al, 2018).…”

Birthing balls and peanut balls for labor pain, delivery duration, and mode of delivery: a meta-analysis of randomized controlled trials

“…The World Health Organization recommends non-pharmacological modalities, such as freedom of position, non-supine postures, and movements during labor and delivery, to improve perinatal outcomes ( Smith et al, 2018b ; WH Organization, 2018 ). Consistent with this recommendation, encouraging laboring women to perform upright positioning and increase maternal mobility has been shown to confer multiple benefits during labor, as evidenced by previous studies ( Hemmerich, Bandrowska & Dumas, 2019 ; Morales-Alvarado & Paredes-Pérez, 2024 ; Reitter et al, 2014 ; Walker et al, 2018 ).…”

Influence of Laboring People's Mobility and Positional Changes on Birth Outcomes in Low‐Dose Epidural Analgesia Labor: A Systematic Review with Meta‐Analysis

“…It should be noted that no detrimental effects were observed, so freedom of movement of people in labor with epidural analgesia should be supported as a safe choice. These results on mode of birth add to the findings of the Cochrane review published by Kibuka and Thornton in 2017 and its 2018 update, which focused on positions and not on mobility 13,35 . Although in 2018 the authors demonstrated no clear benefit of upright positions versus lying down in the second stage of labor, they did highlight the usefulness and benefit of positional changes in both lateral decubitus position compared with the supine posture 13 .…”