Maternal postures for fetal malposition in labour for improving the health of mothers and their infants

Barrowclough, Jennifer; Lin, Luling; Kool, Bridget; Hofmeyr, G Justus; Crowther, Caroline A

doi:10.1002/14651858.cd014615

Cited by 6 publications

(3 citation statements)

References 66 publications

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“…Therefore, in the current study, an I² statistic greater than 30% is considered as high heterogeneity. For these cases, a random effects model is used instead of a fixed effects model [ 27 , 29 ]. Subgroup analysis was performed based on the duration of the video (post hoc) and the type of intervention for the primary outcome.…”

Section: Methodsmentioning

confidence: 99%

Informational video on preoperative anxiety and postoperative satisfaction prior to elective cesarean delivery: a systematic review and meta-analysis

Maghalian,

Mohammad-Alizadeh-Charandabi,

Ranjbar

et al. 2024

BMC Psychol

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Background Preoperative anxiety affects 60 to 80% of patients who are candidates for surgery. Reducing preoperative anxiety can improve surgical outcomes, shorten hospital stays, and minimize disruptions in lifestyle. Having information affects people ability to identify important points and improve their understanding, and lack of information causes fear and anxiety, which negatively affects decision-making. Studies have shown that the intervention of education before cesarean section has a beneficial effect on women anxiety level. Providing information before surgery can reduce patients’ anxiety. This study was conducted to determine the effect of information video before elective cesarean delivery on preoperative anxiety and post-operative satisfaction. Methods The search for relevant studies was systematically conducted in PubMed, Scopus, Web of Science, Cochrane Library, SID (Persian database), and Google Scholar (search engine) until July 4, 2023, in both English and Persian languages. The revised tool for assessing the risk of bias in randomized trials (RoB 2.0) and ROBIN-I were used to evaluate the risk of bias, and heterogeneity was assessed using I². In cases of high heterogeneity, a random effects model was used instead of a fixed effects model. Subgroup analysis was performed based on the duration of the video, and the type of intervention for the primary outcome. Sensitivity analysis was conducted based on the type of study. A random-effects meta-regression analysis was conducted to identify potential sources of high heterogeneity for preoperative anxiety. The certainty of the evidence was assessed using GRADE. Results A total number of 557 articles were found in databases. Three hundred sixty-eight studies were screened based on their titles, abstracts, and full texts. Of these, 16 studies were assessed for eligibility, and 7 were excluded. Ultimately, nine papers were included. Meta-analysis results showed that the information video before elective cesarean delivery compared to control group may have little or no effect on preoperative anxiety, but the evidence is uncertain (SMD − 0.22, 95% CI -0.51 to 0.06, 9 trials, 1020 participants, I2 = 80%; very low-certainty evidence). Also, it probably increases the post-operative satisfaction (SMD 0.26, 95% CI 0.10 to 0.42, 5 trials, 618 participants, I2 = 0%; Moderate-certainty evidence). The random effect meta-regression analyses indicated a significant correlation between the mean age of the intervention group (β = 0.137, P < 0.001) and the mean age of the control group (β = 0.150, P = 0.0246) with effect size. Conclusion This study found that watching an informational video prior to elective cesarean delivery resulted in a decrease in preoperative anxiety. However, it is important to note that the reduction was not statistically significant, and there was a high level of inconsistency among the results. Nonetheless, the intervention did lead to an improvement in women’s post-operative satisfaction. To determine the optimal time duration and content type of informational videos, further studies with more appropriate methodology are necessary.

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Section: Methodsmentioning

confidence: 99%

Informational video on preoperative anxiety and postoperative satisfaction prior to elective cesarean delivery: a systematic review and meta-analysis

Maghalian,

Mohammad-Alizadeh-Charandabi,

Ranjbar

et al. 2024

BMC Psychol

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“…There was also no effect on reducing rates of cesarean section (CS), use of epidural, severe perineal trauma, maternal satisfaction and Apgar scores less than seven in five minutes. (Barrowclough et al, 2022;Levy et al, 2021)…”

Section: Position On All Fours (Hands-and-knees Position)mentioning

confidence: 99%

“…Based on the studies included in the review, use of this position may have little or no effect on reducing rates of CS, instrumental births and maternal satisfaction, but this evidence is uncertain and further research is needed. (Barrowclough et al, 2022) Manual internal rotation A review by Burd et al (2022) shows that prophylactic manual rotation of the fetus from the occipitoposterior (OP) or occipitotransverse (OT) position, confirmed by ultrasound (USS), did not increase the rate of spontaneous vaginal labour compared with no manual rotation. Manual vertex rotation from a OP position during the early second stage of labour was associated with a significant 12.8-minute reduction in length, without changes in maternal and fetal outcome.…”

Section: Side Lateral Positionmentioning

confidence: 99%

Techniques used during childbirth to correct fetal position and improve labour process

Witkiewicz,

Baranowska,

Piskorska

et al. 2023

FetR

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The process of labour is determined by various elements, and only some of them might be controlled by woman or medical professional. The conditions for efficient movement of the fetal head in birth canal, including the anatomy of the pelvis and soft tissues, uterine activity, fetal position and women's approach to the same are essential. This article describes techniques and methods which can be facilitated to gain the improvement and therefore advance the fetus through the birth canal in case of suboptimal condition of childbirth.

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