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Br J Obstet Gynaecol. 1997 May;104(5):567-71.

Randomised trial comparing the upright and supine positions for the second stage of labour.

Author information

  • 1Department of Obstetrics and Gynaecology, University of Cape Town, South Africa.

Abstract

OBJECTIVE:

To assess the maternal and neonatal effects of upright compared with recumbent positions during delivery, in terms of defined outcome variables.

DESIGN:

A randomised controlled trial.

SETTING:

St Monica's Nursing Home, a midwife based maternity unit in Cape Town, South Africa.

PARTICIPANTS:

Five hundred and seventeen women of low obstetrical risk assigned to deliver at the nursing home.

RESULTS:

The trial showed that women who adopted the upright posture for delivery experienced less pain. perineal trauma and fewer episiotomies than those who delivered in the supine position.

CONCLUSION:

The data suggest that in women of low obstetrical risk, choice of posture during delivery may be encouraged.

PMID:
9166199
[PubMed - indexed for MEDLINE]
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