Effect of Maternal Semi-Sitting, Dorsal Recumbent and Lithotomy Positions on the Progress of Labor: A Comparative Approach | ||||
| Zagazig Nursing Journal | ||||
| Article 1, Volume 8, Issue 2 - Serial Number 2012, 2012, Page 1-17 PDF (169.28 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/znj.2012.38866 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Safaa Soliman Ahmed1; Sanaa Ali Nour2; Amal Mohamed Elshahat3; Inas Mohamed AbdAllah4 | ||||
| 1Assist. Lecturer of Maternity and Gyne. Nursing, Faculty of Nursing, Beni Suef University, | ||||
| 2Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing , Zagazig University | ||||
| 3Professor of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, | ||||
| 4Lecturer of Maternity and Gynecological Nursing, Faculty of Nursing, Ismailia, Suez Canal University | ||||
| Abstract | ||||
| Although various positions adopted during labor and delivery has been studied over the past 40 years, controversy still surrounds the results regarding obstetric variables. The aim of this study was to compare the effect of maternal semi-sitting and dorsal recumbent versus lithotomy positions on the progress of labor. A Quasi-experimental research design was adopted. Setting: The study was carried out in the labor ward of the General Hospital and the Health Insurance Hospital in Beni Suef Governorate. The sample were eighty parturient recruited in each of the three labor positions: semi-sitting (SS), dorsal recumbent (DR), and lithotomy (LI) positions. Tools of data collection were; a structured interview schedule, an assessment sheet of mother fetal condition, and observation checklist: to collect data about details of second and third stage of labor. The results of the study revealed that the mean duration, frequency, and intensity of the uterine of the contractions were highest in the SS group, and lowest in the LI (p<0.001). No significant differences were noticed among the three groups in their vital signs, but women in the SS group had women who were higher mean diastolic pressure (p<0.001). The mean duration of the second and third stages in the SS group was lower than those in the DR and LI groups. Conclusion: The frequency, intensity, and duration of the uterine contractions were better compared to dorsal recumbent and lithotomy positions. The mean durations of the second and third stages were also significantly shorter. Recommendations: the utilization of the semi-sitting labor position must be encouraged, with randomized clinical trial to provide further confirmation of the study findings. | ||||
| Keywords | ||||
| Semi-sitting; Dorsal recumbent; Lithotomy; Second stage of labor | ||||
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