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Titolo:
Influence of different maternal birth positions on perineal trauma and neonatal parameters during spontaneous vaginal delivery
Autore:
Bodner-Adler, B; Bodner, K; Joura, EA; Husslein, P; Wagenbichler, P; Kaider, A; Mayerhofer, K;
Indirizzi:
Univ Vienna, Frauenklin, Geburtshilfe & Gynakol Abt, A-1090 Vienna, Austria Univ Vienna Vienna Austria A-1090 & Gynakol Abt, A-1090 Vienna, Austria Semmelweis Frauenklin Wien, Geburtshilfe & Gynakol Abt, Vienna, Austria Semmelweis Frauenklin Wien Vienna Austria Gynakol Abt, Vienna, Austria Univ Vienna, Inst Med Comp Wissensch, A-1090 Vienna, Austria Univ Vienna Vienna Austria A-1090 Comp Wissensch, A-1090 Vienna, Austria
Titolo Testata:
GEBURTSHILFE UND FRAUENHEILKUNDE
fascicolo: 10, volume: 61, anno: 2001,
pagine: 766 - 770
SICI:
0016-5751(200110)61:10<766:IODMBP>2.0.ZU;2-A
Fonte:
ISI
Lingua:
GER
Soggetto:
CONTROLLED TRIAL; 2ND STAGE; LABOR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Mayerhofer, K Univ Vienna, Frauenklin, Geburtshilfe & Gynakol Abt, Waehringer Guertel 18-20, A-1090 Vienna, Austria Univ Vienna Waehringer Guertel 18-20 Vienna Austria A-1090
Citazione:
B. Bodner-Adler et al., "Influence of different maternal birth positions on perineal trauma and neonatal parameters during spontaneous vaginal delivery", GEBURTSH FR, 61(10), 2001, pp. 766-770

Abstract

Purpose: During recent years alternative birth positions have gained more significance. Physiological advantages have been claimed for these birth positions, including the positive effect of the gravity on the uterus, a better alignment of the fetus during passage through the pelvis and an increasein pelvic dimension. The aim of this study was to evaluate possible advantages of the upright birth positions over the supine and the lateral position during spontaneous vaginal delivery. Material and Methods: This retrospective, multicenter trial included 1009 women with spontaneous vaginal delivery. Dependent on the choice of the birth position, we differentiated between women delivering in upright (alternative), supine or lateral position. The following variables were studied: the frequency and severity of vulvo-perineal lacerations, the use of episiotomy, the length of second stage of labour, the donation of oxytocin, the useof epidural anaesthesia, the cord pH and the Apgar score after one and after five minutes. Results: Among 1009 women, 67% decided for the supine position, 16% for the lateral position and 17% for the upright birth position. Our data revealed statistically significant higher rates of episiotomy in women who delivered in supine position compared to other birth positions (p = 0.01). A statistically significant association between the maternal birth position and the occurrence of vulvo-perineal lacerations and the neonatal outcome could not be observed (p > 0.05). The median length of the second stage of labour was 30 minutes in all 3 birth positions. Our results showed that oxytocin (p = 0.001) as well as epidural anaesthesia (p = 0.001) were used statistically significant more frequently in women delivering in supine position. Conclusion: The maternal birth position seem not to have any influence on the frequency and severity of vulvo-perineal lacerations and on the neonatale outcome. A significant higher rate of episiotomy and use of oxytocin in women who delivered in supine position could be observed. However, in our opinion the best recommendation is to give the mothers the option of bearingin the position that is most comfortable for them.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/09/20 alle ore 22:16:39