The Impact of Maternal Position in Labor on Occiput-posterior Position of Fetus and Pregnancy Outcomes in Pregnant Women Without Epidural Analgesia
Objective: Fetal occiput posterior (OP) position is associated with more maternal and neonatal complications. This study aimed to investigate the effect of maternal position during labor on fetal OP position and pregnancy outcomes. Materials and methods: This randomized clinical trial study include...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2023-06-01
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| Series: | Journal of Family and Reproductive Health |
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| Online Access: | https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2248 |
| _version_ | 1797800627998294016 |
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| author | Hadis Bahmaei Parvaneh Mousavi Mohammad Hosein Haghighizadeh Mina Iravani |
| author_facet | Hadis Bahmaei Parvaneh Mousavi Mohammad Hosein Haghighizadeh Mina Iravani |
| author_sort | Hadis Bahmaei |
| collection | DOAJ |
| description |
Objective: Fetal occiput posterior (OP) position is associated with more maternal and neonatal complications. This study aimed to investigate the effect of maternal position during labor on fetal OP position and pregnancy outcomes.
Materials and methods: This randomized clinical trial study included 180 primigravida women in labor with a single fetus and approved OP position. Participants were randomly allocated into three groups: semi-prone position (n=45), knee-chest position (n=45), and supine position (n=90). All participants were placed in the defined positions 15-30 min in labor until delivery. Data collected using Visual Analogue Scale and researcher made checklist. The ANOVA, Tukey post hoc, and the chi-square test were used to analyze.
Results: Among all participants who had OP, after intervention 16.3% in the semi-prone position, 14/3 % in the knee-chest position, and 33.7% of the control groups remained with OP at birth (X3=7/87, P=0.019). The rate of natural delivery was significantly higher in the semi-prone position and knee-chest position. The duration of active phase of labor and low back pain were significantly reduced in the semi-prone and knee-chest position compared to the control groups (P<0.05). There were no differences in the duration of the third stage of labor, APGAR score, and the rate of neonatal addition to neonatal intensive care unit, using oxytocin, and perineal tears (P>0.05).
Conclusion: The semi-prone and knee-chest positions increase the spontaneous rotation of occiput to the anterior position, vaginal delivery rates as well as a reduction in duration of active phase of labor and low back pain after delivery.
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| first_indexed | 2024-03-13T04:38:07Z |
| format | Article |
| id | doaj.art-348e9ecb95cf4fd2b310c6307de2ffb8 |
| institution | Directory Open Access Journal |
| issn | 1735-8949 1735-9392 |
| language | English |
| last_indexed | 2024-03-13T04:38:07Z |
| publishDate | 2023-06-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Family and Reproductive Health |
| spelling | doaj.art-348e9ecb95cf4fd2b310c6307de2ffb82023-06-19T06:34:22ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922023-06-0117210.18502/jfrh.v17i2.12871The Impact of Maternal Position in Labor on Occiput-posterior Position of Fetus and Pregnancy Outcomes in Pregnant Women Without Epidural AnalgesiaHadis Bahmaei0Parvaneh Mousavi1Mohammad Hosein Haghighizadeh2Mina Iravani3Department of Midwifery, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranReproductive Health Promotion Research Center, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment Biostatistics, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranReproductive Health Promotion Research Center, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Objective: Fetal occiput posterior (OP) position is associated with more maternal and neonatal complications. This study aimed to investigate the effect of maternal position during labor on fetal OP position and pregnancy outcomes. Materials and methods: This randomized clinical trial study included 180 primigravida women in labor with a single fetus and approved OP position. Participants were randomly allocated into three groups: semi-prone position (n=45), knee-chest position (n=45), and supine position (n=90). All participants were placed in the defined positions 15-30 min in labor until delivery. Data collected using Visual Analogue Scale and researcher made checklist. The ANOVA, Tukey post hoc, and the chi-square test were used to analyze. Results: Among all participants who had OP, after intervention 16.3% in the semi-prone position, 14/3 % in the knee-chest position, and 33.7% of the control groups remained with OP at birth (X3=7/87, P=0.019). The rate of natural delivery was significantly higher in the semi-prone position and knee-chest position. The duration of active phase of labor and low back pain were significantly reduced in the semi-prone and knee-chest position compared to the control groups (P<0.05). There were no differences in the duration of the third stage of labor, APGAR score, and the rate of neonatal addition to neonatal intensive care unit, using oxytocin, and perineal tears (P>0.05). Conclusion: The semi-prone and knee-chest positions increase the spontaneous rotation of occiput to the anterior position, vaginal delivery rates as well as a reduction in duration of active phase of labor and low back pain after delivery. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2248Fetal Occiput PosteriorMaternal PositionLaborEpidural AnalgesiaPregnancy Outcomes |
| spellingShingle | Hadis Bahmaei Parvaneh Mousavi Mohammad Hosein Haghighizadeh Mina Iravani The Impact of Maternal Position in Labor on Occiput-posterior Position of Fetus and Pregnancy Outcomes in Pregnant Women Without Epidural Analgesia Journal of Family and Reproductive Health Fetal Occiput Posterior Maternal Position Labor Epidural Analgesia Pregnancy Outcomes |
| title | The Impact of Maternal Position in Labor on Occiput-posterior Position of Fetus and Pregnancy Outcomes in Pregnant Women Without Epidural Analgesia |
| title_full | The Impact of Maternal Position in Labor on Occiput-posterior Position of Fetus and Pregnancy Outcomes in Pregnant Women Without Epidural Analgesia |
| title_fullStr | The Impact of Maternal Position in Labor on Occiput-posterior Position of Fetus and Pregnancy Outcomes in Pregnant Women Without Epidural Analgesia |
| title_full_unstemmed | The Impact of Maternal Position in Labor on Occiput-posterior Position of Fetus and Pregnancy Outcomes in Pregnant Women Without Epidural Analgesia |
| title_short | The Impact of Maternal Position in Labor on Occiput-posterior Position of Fetus and Pregnancy Outcomes in Pregnant Women Without Epidural Analgesia |
| title_sort | impact of maternal position in labor on occiput posterior position of fetus and pregnancy outcomes in pregnant women without epidural analgesia |
| topic | Fetal Occiput Posterior Maternal Position Labor Epidural Analgesia Pregnancy Outcomes |
| url | https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2248 |
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