Effect of Hands and Knees position versus lateral Position on Progress of Labor
Shalaby Awad Mahmoud, N., saied Ibrahim Ali, H., Hamed Mohamed Elbastawesy, H. (2025). Effect of Hands and Knees position versus lateral Position on Progress of Labor. EKB Journal Management System, 16(3), 1113-1127. doi: 10.21608/ejhc.2025.465534
Nehal Shalaby Awad Mahmoud; Heba saied Ibrahim Ali; Hala Hamed Mohamed Elbastawesy. "Effect of Hands and Knees position versus lateral Position on Progress of Labor". EKB Journal Management System, 16, 3, 2025, 1113-1127. doi: 10.21608/ejhc.2025.465534
Shalaby Awad Mahmoud, N., saied Ibrahim Ali, H., Hamed Mohamed Elbastawesy, H. (2025). 'Effect of Hands and Knees position versus lateral Position on Progress of Labor', EKB Journal Management System, 16(3), pp. 1113-1127. doi: 10.21608/ejhc.2025.465534
Shalaby Awad Mahmoud, N., saied Ibrahim Ali, H., Hamed Mohamed Elbastawesy, H. Effect of Hands and Knees position versus lateral Position on Progress of Labor. EKB Journal Management System, 2025; 16(3): 1113-1127. doi: 10.21608/ejhc.2025.465534

Effect of Hands and Knees position versus lateral Position on Progress of Labor

Egyptian Journal of Health Care
Volume 16, Issue 3, September 2025, Pages 1113-1127    PDF (343.36 K)
DOI: 10.21608/ejhc.2025.465534
Authors
Nehal Shalaby Awad Mahmoud* 1; Heba saied Ibrahim Ali1; Hala Hamed Mohamed Elbastawesy2
1Lecturer of Obstetrics & Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt
2Lecturer, Obstetrics & Gynecologic Nursing, Faculty of Nursing, Damanhur University, Egypt.
Abstract
Background: Changing positions during labor has paramount importance as it enhances maternal outcomes, stimulates uterine contractions, and facilitates the natural progression of labor. Aim: to examine the effect of hands and knees position versus lateral position on progress of labor. Research design: A quasi-experimental design was adopted. Setting: This study was conducted at the labor and delivery unit of the National Medical Institute in Damanhour, El-Beheira Governorate, Egypt. Subjects: A convenient sample of 80 parturient women was selected based on specific inclusion criteria. Tools: Two tools were used, a structured interview questionnaire and a partograph. Results: There existed a statistically significant difference between the two groups from the third to the sixth hour concerning the frequency, duration, interval, and intensity of uterine contractions, alongside cervical effacement and dilatation. Furthermore, a highly statistically significant difference was identified between the two groups pertaining to the mean duration of the first, second, and third stages of labor. Conclusion: The findings concluded that parturient women who assume the hands and knees position experienced faster labor progress compared to those who assume the lateral position. Recommendation: It is suggested to raise awareness of women regarding the benefits of the hands and knees position to facilitate delivery.
Keywords
Hands and knees position; Lateral position; Progress of labor
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