Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

AUGMENTATION OF LABOUR AND FETAL OUTCOMES IN RELATION TO BIRTH POSITIONS: A SECONDARY ANALYSIS OF AN RCT EVALUATING BIRTH SEAT BIRTHS

Thies-Lagergren, L LU orcid ; Kvist, LJ ; Sandin-Bojö, A-K ; Christensson, K and Hildingsson, I (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)
Please use this url to cite or link to this publication:
author
; ; ; and
publishing date
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}},
}