Investigating the Effect of Maternal Elective Position during Active Phase on the First Pregnancy Outcome
DOI:
https://doi.org/10.22100/jkh.v4i1.184Keywords:
Elective position, Active phase, Pregnancy outcome, labor.Abstract
Introduction: Final hours of human pregnancy are diagnosed with floored uterine contractions that induce the dilatation of cervix and pushing of the fetus throughout the delivery passage. Mother's position during labor can influence uterine contractions as well as the mother’s psychological status. This study aimed at investigating the effect of maternal elective position in labor stage on the pregnancy outcome.
Methods: In this experimental study, a total of 100 people were randomly selected from the population of first pregnancy women referring to Ya Zahra Maternity Hospital and they were randomized into a 50- person usual care or control group and a 50-person elective position or case group. At admission (4- cm dilatation), women in the control group remained confined to the labor bed and received the usual medical care. But women in elective position were allowed to choose their preferred position such as walking, sitting, standing, knee-chest, etc. The Data were collected through information forms, scale, clock, Burford pain scale and observation record forms, and they were analyzed by t-test and Chi-square statistical tests.
Results: The results indicated that relative length of the active phase in the case and control groups was 142.2 and 212.4 minutes, respectively, which shows a significant reduction. The mean labor scores in the case and control groups were respectively reported as 6.9±1.1 and 8.1±1.2 which indicate a significant difference. The need for oxytocin augmentation reduced (8% vs 64%) and mothers’ satisfaction of child birth experience significantly increased. The incidence of fetal heart rate abnormalities was significantly smaller in the case group. When asked whether they would choose elective position during future labors, 76% of women in the case group answered positively.
Conclusion: Maternal elective position during active phase not only has no abnormal effects on the pregnancy outcome but also it improves many of pregnancy outcomes and it can, therefore, be used as an appropriate and harmless method in normal deliveries.
References
Gary C, Kenneth LJ, Steven BL, John HC, Larry GC, Katharine WD. Williams obsterics. Translated to Persian by: Ghazi jahani. Tehran: Golban pub;2005.[Persian].
Bennet V, Brown, Linda K. Myle's textbook for midwives. New Yourk:Livingston;1999.
Fenwick L, Simkin P. Maternal positioning to prevent or alleviate dystocia in labor: Clin Obstet Gynecol 1987; 30(1):83-89.
Kean LH, Bacher PN, Edelstone DI. Best practice in labor ward management. Philadelphia: W.B. Sunders;2000.
Mario M, Garay. Delivery medicine. Translated to Persian by: Khoshzaban J, Mohamadi Ardehali Z.Tehran: Boshra;1989.[Persian].
Willson R. Obstetric & gynecology. Translated to Persian by: Kazemi D.Tehran:Danesh pazhooh; 2007.[Persian].
Roberts J, Malasanos L, Mendez-Bauer C. Maternal position labor:Analysis in relation to comfort and efficiency. Birth Defect Orig Artic Ser 1981;17(6):97-128.
Christine H, Kathleen J. Essential midwifery. New York: Mosby pub;1997.
Carol B. Diagnosis and treatment of pain. Translated to Persian by: Shoroofi. Tehran:chehr pup;1997.p.44.[Persian].
Albers LL, Anderson D, Cragin L, Daniels SM, Hunter C, Sedler KD, et al. The relationship of ambulation in labor to operative delivery. j Nurse Midwifery 1997;42(1):4-8.
Stewart P, Calder AA. Posture in Labor: patients’ choice and its effect of performance: Br Obstet Gynaecol 1984;91(11):1091–1095.
Andrews CM, Chrzanowski M. Maternal position, labor and comfort. Appl Nurs Res 1990;3(1):7–13.
Purjavad M. The effect of maternal position on the labor: Journal of Medical COUNCIL of Islamic Republic of Iran 1999;17(2).[Persian].
Shanazi M, Hamidi A. To evaluate the effect maternal position during active phase on the pregnancy outcome [dissertation]. Tabriz University of Medical Sciences;1997.[Persian].
Bloom sl, McIntire DD, Kelly MA, Beimer HL, Burpo RH, Garcia MA, et al. Lack of effect of walking on labor and delivery: N Engl J Med 1998, 339(2):76–79.
Bennet v Ruth, Broun Linda K. Myle's textbook for midwives. Newyork: Church Livingstone;1999.
Beischer NA, Mackay EV, colditz PB. Obstetvics and the newborn.. London: Sunders company;1997.
Mcmanus TJ, Calder AA. Upright posture and the efficiency of labor. Lancet 1978;1(8055):72-74.
Molina FJ, Sola PA, Lopez E, Pires C. Pain in the first stage of labor:Relationship with the patient’s position. J Pain Symptom Manage 1997;13(2):98-103.
Carbonne B, Benachi A, Leveque ML, Cabrol D, Papiernik E. Maternal position during labor: effect on fetal oxygen saturation measured by pulse oxymetry. Obstet Gynecol 1996;88(5):797–800.
Shachar IB, Welnetin D, Elchalai u. Maternal position and fetal Pulse oximetry. International Journal of Gynecology & Obstetrics 1998,60(1):67-68.
Mendez C, Roberts J. The effect of maternal position on contractility and efficiency.Birth 1983;10(4):243-249.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
