Maternal posture in labour

Gupta, Janesh; Nikodem, Cheryl

doi:10.1016/s0301-2115(99)00272-9

Cited by 39 publications

(38 citation statements)

References 40 publications

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“…The fact is that the use of Kristeller maneuver has been almost completely abandoned in most countries where normal labor is guided exclusively by midwives. In these countries, parturient women may choose labor position, thus reducing the incidence of episiotomy and operative vaginal delivery [6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…The semi-sitting position is more acceptable for both the parturient and the staff, reduces the second labor stage, oxytocin requirement and rate of episiotomy [6,[16][17][18][19]. Uncritical and extensive expression of the fetus may definitely have unfavorable impact on the woman's psychic and emotional state with potential short-and long-term sequels [20].…”

Section: Discussionmentioning

confidence: 99%

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Possible feto-maternal clinical risk of the Kristeller’s expression

Habek¹,

Bobić

Hrgović

2008

Open Medicine

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AbstractThe aim of this clinical case study is evaluation of possible intrapartal complication of the uncritical Kristeller’s expression. In this retrospective clinical study, data on seven parturients with significant maternal or fetal intrapartum complications during the second labor stage and Kristeller expression, associated with the maneuver, were analyzed. Data was obtained from patient files: history of delivery delivery room protocol and neonatal reports from two tertiary maternal wards. There were five uterine ruptures that were treated by laparotomy and uterine sutures. Atypical rupture location on the uterine fundus occurred in one case, isthmus rupture in three cases, and rupture of the scar left after a previous cesarean section as a potential risk factor for uterine rupture in one case. Complex uterine cervicoisthmic rupture with incomplete colporrhexis occurred during the delivery of a macrosomic child at an outpatient ward. In one case, unilateral fracture of the tenth and eleventh ribs resolved spontaneously without complications. One case of peripartum trauma, possibly associated with extensive expression was observed in one neonates: cutaneous and subcutaneous hematoma on the back with traumatic unilateral adrenal hemorrhage. Both newborns were monitored, successfully treated, and discharged from the hospital free from complications. In conclusion, in the obstetrics as a high risk profession, a very critical approach should be exercised on choosing this maneuver, which should be reserved for the rare and strictly indicated cases, thereby strictly following the professional rules to avoid generally unnecessary and unpleasant litigation and forensic expertise.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Possible feto-maternal clinical risk of the Kristeller’s expression

Habek¹,

Bobić

Hrgović

2008

Open Medicine

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“…The ineffective practices selected were the following: use of enemas, 10 perineal and/or pubic shaving, 11 intravenous infusion during labour, 12 and episiotomy. 13 The beneficial practices selected were the following: continuous support or companionship during labour, 14 allowing women's choice of position during the first stage of labour, 15 active management of the third stage of labour, 16 external cephalic version for breech presentation at term, 17 use of absorbable synthetic suture material for episiotomy, 18 and prophylactic antibiotics for caesarean section. 19 Rates of enema, perineal/pubic shaving, intravenous infusion, and companionship and position in labour were measured in low-risk women with spontaneous onset of labour (n = 1635).…”

Section: Quantitative Approachmentioning

confidence: 99%

Evidence‐based intrapartum care in Cali, Colombia: a quantitative and qualitative study

Conde-Agudelo

Rosas-Bermúdez

Gülmezoglu

2008

BJOG

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Objectives To measure the rate of use of selected intrapartum obstetric practices and to explore the factors associated with their use.Design Prospective quantitative and qualitative study.Setting Fifteen public and private hospitals in Cali, Colombia.Sample Quantitative arm: 1767 low-risk women delivering a single live baby; qualitative arm: 36 intrapartum care providers.Methods Quantitative analysis of women's clinical charts for measuring the rates of obstetric practices. Qualitative analysis of audiotaped semi-structured interviews with intrapartum care providers.Main outcome measures Rates of use of ten intrapartum obstetric practices and associated factors and intrapartum care providers' views on evidence-based obstetric practice.Results Rates for the ineffective practices of enema use, perineal/ pubic shaving, and routine intravenous infusion during labour were around 75%. Episiotomy rates for primiparae and multiparae were 70 and 22%, respectively. Rates for the beneficial practices of active management of the third stage of labour and allowing women's choice of position during the first stage of labour were around 45%. Companionship during labour, external cephalic version for breech presentation at term, and absorbable synthetic sutures for episiotomy showed rates of utilisation lower than 15%. Hospital characteristics, type of intrapartum care provider, and women's medical insurance status were associated with use of selected practices. Barriers and opportunities for implementing evidence-based practices in routine obstetric care were identified.Conclusions Intrapartum care in Cali, Colombia, is not guided by the best available evidence. Effective change strategies should be undertaken to encourage the adoption of obstetric practices clearly demonstrated as effective and to discard those that are ineffective.Keywords Evidence-based medicine, intrapartum care, qualitative study.Please cite this paper as: Conde-Agudelo A, Rosas-Bermudez A, Gülmezoglu A. Evidence-based intrapartum care in Cali, Colombia: a quantitative and qualitative study.

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“…training our squat pattern and range of motion, and ultimately accessing the deep squat will support the pursuit of a healthy, functional body 18 , and a better quality of life.…”

mentioning

confidence: 99%

As Essential as Brushing Your Teeth: The Deep Squat

Dagher¹

2017

jevohealth

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Maternal posture in labour

Cited by 39 publications

References 40 publications

Possible feto-maternal clinical risk of the Kristeller’s expression

Possible feto-maternal clinical risk of the Kristeller’s expression

Evidence‐based intrapartum care in Cali, Colombia: a quantitative and qualitative study

As Essential as Brushing Your Teeth: The Deep Squat

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