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Med. Sci. 2017, 5(1), 5; doi:10.3390/medsci5010005

A Prospective Randomized Trial of Postural Changes vs Passive Supine Lying during the Second Stage of Labor under Epidural Analgesia

1
Department of Obstetricia y Ginecología, Hospital Universitario Quirón, Pozuelo de Alarcón, 28223 Madrid, Spain
2
Escuela Universitaria de Enfermería, Universidad de Cantabria, 39001 Santander, Spain
3
Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Avenida de Atenas SN, 28922 Alcorcón, Madrid, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Alicia San José
Received: 15 February 2017 / Revised: 23 February 2017 / Accepted: 28 February 2017 / Published: 8 March 2017
(This article belongs to the Section Nursing Research)
View Full-Text   |   Download PDF [213 KB, uploaded 8 March 2017]

Abstract

There exist very few studies comparing different postures or postural changes during labor in parturients with epidural analgesia. Aim: To disclose whether the intervention of a multidisciplinary nursing team including a physiotherapist during the second stage of labor improves the obstetric outcome in parturients with epidural analgesia. Design: Prospective randomized trial. Setting: University-affiliated hospital. Population: Women undergoing labor with epidural analgesia after a normal gestation. Methods: 150 women were randomized either to actively perform predefined postural changes during the passive phase of the second stage of labor under the guidance of the attending physiotherapist (study group), or to carry out the whole second stage of labor lying in the traditional supine position (control group). Results: There were significantly more eutocic deliveries (p = 0.005) and, conversely, significantly less instrumental deliveries (p < 0.05) and cesarean sections (p < 0.05) in the study group. The total duration of the second stage of labor was significantly shorter (p < 0.01) in the study group. This was at the expense of the passive phase of the second stage of labor (p < 0.01). Significantly less episiotomies were performed in the study group (31.2% vs 17.8%, p < 0.05). Conclusion: The intervention of a physiotherapist during the second stage of labor significantly improved the obstetric outcome. View Full-Text
Keywords: labor; postural changes; second stage labor; postural changes; second stage
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Simarro, M.; Espinosa, J.A.; Salinas, C.; Ojea, R.; Salvadores, P.; Walker, C.; Schneider, J. A Prospective Randomized Trial of Postural Changes vs Passive Supine Lying during the Second Stage of Labor under Epidural Analgesia. Med. Sci. 2017, 5, 5.

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