AUGMENTATION OF LABOUR AND FETAL OUTCOMES IN RELATION TO BIRTH POSITIONS: A SECONDARY ANALYSIS OF AN RCT EVALUATING BIRTH SEAT BIRTHS
(2012) In Journal of Paediatrics and Child Health 48(Suppl 1). p.101-102- Abstract
- Background: The WHO advises against recumbent position for longer periods during labour and birth. It has been suggested that upright posi-tions may improve childbirth outcomes and reduce the need for oxytocin augmentation. However RCTs of interventions to encourage upright positions are scarce. The aims of this study were to assess whether there is a relationship between the use of oxytocin augmentation, duration of labour and birth and infant outcomes in nulliparous women randomised to birth on a birth seat or any other position.Method: A Swedish RCT including 1002 nulliparous women who were randomised to birth on a birth seat or birth in any other position. The outcome measurements included... (More)
- Background: The WHO advises against recumbent position for longer periods during labour and birth. It has been suggested that upright posi-tions may improve childbirth outcomes and reduce the need for oxytocin augmentation. However RCTs of interventions to encourage upright positions are scarce. The aims of this study were to assess whether there is a relationship between the use of oxytocin augmentation, duration of labour and birth and infant outcomes in nulliparous women randomised to birth on a birth seat or any other position.Method: A Swedish RCT including 1002 nulliparous women who were randomised to birth on a birth seat or birth in any other position. The outcome measurements included oxytocin augmentation, duration of the second stage of labour and fetal outcome. Analysis was by intention to treat.Results: Women randomised to the experimental group had a statistically signifi cant shorter second stage of labour than women randomised to the control group. There were no differences between the groups for use of oxytocin augmentation or for neonatal outcomes.Conclusions: Women allocated to the birth seat had a signifi cantly shorter second stage of labour despite similar numbers of women given oxytocin augmentation between the study groups. The birth seat can be suggested as non-medical intervention used to reduce duration of second stage labour and birth. (Less)
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https://lup.lub.lu.se/record/f11ace28-33d1-4122-8935-3cdaaff414e6
- author
- Thies-Lagergren, L LU ; Kvist, LJ ; Sandin-Bojö, A-K ; Christensson, K and Hildingsson, I
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- in
- Journal of Paediatrics and Child Health
- volume
- 48
- issue
- Suppl 1
- article number
- P077
- pages
- 101 - 102
- publisher
- Wiley-Blackwell
- ISSN
- 1440-1754
- DOI
- 10.1111/j.1440-1754.2012.02412.x
- language
- English
- LU publication?
- no
- id
- f11ace28-33d1-4122-8935-3cdaaff414e6
- date added to LUP
- 2022-02-25 09:25:39
- date last changed
- 2022-02-26 02:17:45
@misc{f11ace28-33d1-4122-8935-3cdaaff414e6, abstract = {{Background: The WHO advises against recumbent position for longer periods during labour and birth. It has been suggested that upright posi-tions may improve childbirth outcomes and reduce the need for oxytocin augmentation. However RCTs of interventions to encourage upright positions are scarce. The aims of this study were to assess whether there is a relationship between the use of oxytocin augmentation, duration of labour and birth and infant outcomes in nulliparous women randomised to birth on a birth seat or any other position.Method: A Swedish RCT including 1002 nulliparous women who were randomised to birth on a birth seat or birth in any other position. The outcome measurements included oxytocin augmentation, duration of the second stage of labour and fetal outcome. Analysis was by intention to treat.Results: Women randomised to the experimental group had a statistically signifi cant shorter second stage of labour than women randomised to the control group. There were no differences between the groups for use of oxytocin augmentation or for neonatal outcomes.Conclusions: Women allocated to the birth seat had a signifi cantly shorter second stage of labour despite similar numbers of women given oxytocin augmentation between the study groups. The birth seat can be suggested as non-medical intervention used to reduce duration of second stage labour and birth.}}, author = {{Thies-Lagergren, L and Kvist, LJ and Sandin-Bojö, A-K and Christensson, K and Hildingsson, I}}, issn = {{1440-1754}}, language = {{eng}}, note = {{Conference Abstract}}, number = {{Suppl 1}}, pages = {{101--102}}, publisher = {{Wiley-Blackwell}}, series = {{Journal of Paediatrics and Child Health}}, title = {{AUGMENTATION OF LABOUR AND FETAL OUTCOMES IN RELATION TO BIRTH POSITIONS: A SECONDARY ANALYSIS OF AN RCT EVALUATING BIRTH SEAT BIRTHS}}, url = {{http://dx.doi.org/10.1111/j.1440-1754.2012.02412.x}}, doi = {{10.1111/j.1440-1754.2012.02412.x}}, volume = {{48}}, year = {{2012}}, }