Effect of Maternal Semi-Sitting, Dorsal Recumbent and Lithotomy Positions on the Labor Outcome: A Comparative Approach | ||||
| Zagazig Nursing Journal | ||||
| Article 3, Volume 8, Issue 2 - Serial Number 2012, 2012, Page 18-33 PDF (169.34 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/znj.2012.38869 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Safaa Soliman Ahmed1; Sanaa Ali Nour2; Amal Mohamed Elshahat3; Inas Mohamed d 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 | ||||
| The interest in the evaluation of the various positions adopted during labor and delivery with respect to pain relief and comfort for women, in addition to better outcomes, have yet to be fully clarified and there is thus as yet no consensus with regard to the optimal position to be adopted . The aim of this study was to compare the effect of maternal semi-sitting and dorsal recumbent versus lithotomy positions on labor outcome and women satisfaction. A quasiexperimental design was adopted in this study. 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: eighty parturient women were 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 checklist, and a satisfaction sheet. Results: revealed that women in the SS group had significantly lower rates of episiotomy, labial injury, vaginal edema, perineal lacerations, and postpartum hemorrhage (p=0.001). Their newborns had the highest Apgar scores at the first and fifth minutes, and none of them had fetal complications (p<0.001). Most (88.8%) women in the SS group were satisfied with the position, had less problems, preferred to assume this position in the next labor, and will recommend the position to others (p<0.001). Conclusion: semi-sitting position during labor and delivery was found to have clinical advantages without risk to mother or infant. Enhanced maternal and fetal outcomes included better Apgar score, improved perineal integrity, vulvar edema, less blood loss and better women satisfaction. 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; labor outcomes | ||||
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