Women’s Choice of Positions during Labour: Return to the Past or a Modern Way to Give Birth? A Cohort Study in Italy
Background. Childbirth medicalization has reduced the parturient’s opportunity to labour and deliver in a spontaneous position, constricting her to assume the recumbent one. The aim of the study was to compare recumbent and alternative positions in terms of labour process, type of delivery, neonatal...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2014-01-01
|
Series: | BioMed Research International |
Online Access: | http://dx.doi.org/10.1155/2014/638093 |
id |
doaj-6b668d75ed3d4d6fbb13576b73f826d2 |
---|---|
record_format |
Article |
spelling |
doaj-6b668d75ed3d4d6fbb13576b73f826d22020-11-24T22:32:55ZengHindawi LimitedBioMed Research International2314-61332314-61412014-01-01201410.1155/2014/638093638093Women’s Choice of Positions during Labour: Return to the Past or a Modern Way to Give Birth? A Cohort Study in ItalySalvatore Gizzo0Stefania Di Gangi1Marco Noventa2Veronica Bacile3Alessandra Zambon4Giovanni Battista Nardelli5Department of Woman and Child Health, University of Padua, 3 Giustiniani Street, 35128 Padua, ItalyDepartment of Woman and Child Health, University of Padua, 3 Giustiniani Street, 35128 Padua, ItalyDepartment of Woman and Child Health, University of Padua, 3 Giustiniani Street, 35128 Padua, ItalyDepartment of Woman and Child Health, University of Padua, 3 Giustiniani Street, 35128 Padua, ItalyDepartment of Woman and Child Health, University of Padua, 3 Giustiniani Street, 35128 Padua, ItalyDepartment of Woman and Child Health, University of Padua, 3 Giustiniani Street, 35128 Padua, ItalyBackground. Childbirth medicalization has reduced the parturient’s opportunity to labour and deliver in a spontaneous position, constricting her to assume the recumbent one. The aim of the study was to compare recumbent and alternative positions in terms of labour process, type of delivery, neonatal wellbeing, and intrapartum fetal head rotation. Methods. We conducted an observational cohort study on women at pregnancy term. Primiparous women with physiological pregnancies and single cephalic fetuses were eligible for the study. We considered data about maternal-general characteristics, labour process, type of delivery, and neonatal wellbeing at birth. Patients were divided into two groups: Group-A if they spent more than 50% of labour in a recumbent position and Group-B when in alternative ones. Results. 225 women were recruited (69 in Group-A and 156 in Group-B). We found significant differences between the groups in terms of labour length, Numeric Rating Scale score and analgesia request rate, type of delivery, need of episiotomy, and fetal occiput rotation. No differences were found in terms of neonatal outcomes. Conclusion. Alternative maternal positioning may positively influence labour process reducing maternal pain, operative vaginal delivery, caesarean section, and episiotomy rate. Women should be encouraged to move and deliver in the most comfortable position.http://dx.doi.org/10.1155/2014/638093 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Salvatore Gizzo Stefania Di Gangi Marco Noventa Veronica Bacile Alessandra Zambon Giovanni Battista Nardelli |
spellingShingle |
Salvatore Gizzo Stefania Di Gangi Marco Noventa Veronica Bacile Alessandra Zambon Giovanni Battista Nardelli Women’s Choice of Positions during Labour: Return to the Past or a Modern Way to Give Birth? A Cohort Study in Italy BioMed Research International |
author_facet |
Salvatore Gizzo Stefania Di Gangi Marco Noventa Veronica Bacile Alessandra Zambon Giovanni Battista Nardelli |
author_sort |
Salvatore Gizzo |
title |
Women’s Choice of Positions during Labour: Return to the Past or a Modern Way to Give Birth? A Cohort Study in Italy |
title_short |
Women’s Choice of Positions during Labour: Return to the Past or a Modern Way to Give Birth? A Cohort Study in Italy |
title_full |
Women’s Choice of Positions during Labour: Return to the Past or a Modern Way to Give Birth? A Cohort Study in Italy |
title_fullStr |
Women’s Choice of Positions during Labour: Return to the Past or a Modern Way to Give Birth? A Cohort Study in Italy |
title_full_unstemmed |
Women’s Choice of Positions during Labour: Return to the Past or a Modern Way to Give Birth? A Cohort Study in Italy |
title_sort |
women’s choice of positions during labour: return to the past or a modern way to give birth? a cohort study in italy |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6133 2314-6141 |
publishDate |
2014-01-01 |
description |
Background. Childbirth medicalization has reduced the parturient’s opportunity to labour and deliver in a spontaneous position, constricting her to assume the recumbent one. The aim of the study was to compare recumbent and alternative positions in terms of labour process, type of delivery, neonatal wellbeing, and intrapartum fetal head rotation. Methods. We conducted an observational cohort study on women at pregnancy term. Primiparous women with physiological pregnancies and single cephalic fetuses were eligible for the study. We considered data about maternal-general characteristics, labour process, type of delivery, and neonatal wellbeing at birth. Patients were divided into two groups: Group-A if they spent more than 50% of labour in a recumbent position and Group-B when in alternative ones. Results. 225 women were recruited (69 in Group-A and 156 in Group-B). We found significant differences between the groups in terms of labour length, Numeric Rating Scale score and analgesia request rate, type of delivery, need of episiotomy, and fetal occiput rotation. No differences were found in terms of neonatal outcomes. Conclusion. Alternative maternal positioning may positively influence labour process reducing maternal pain, operative vaginal delivery, caesarean section, and episiotomy rate. Women should be encouraged to move and deliver in the most comfortable position. |
url |
http://dx.doi.org/10.1155/2014/638093 |
work_keys_str_mv |
AT salvatoregizzo womenschoiceofpositionsduringlabourreturntothepastoramodernwaytogivebirthacohortstudyinitaly AT stefaniadigangi womenschoiceofpositionsduringlabourreturntothepastoramodernwaytogivebirthacohortstudyinitaly AT marconoventa womenschoiceofpositionsduringlabourreturntothepastoramodernwaytogivebirthacohortstudyinitaly AT veronicabacile womenschoiceofpositionsduringlabourreturntothepastoramodernwaytogivebirthacohortstudyinitaly AT alessandrazambon womenschoiceofpositionsduringlabourreturntothepastoramodernwaytogivebirthacohortstudyinitaly AT giovannibattistanardelli womenschoiceofpositionsduringlabourreturntothepastoramodernwaytogivebirthacohortstudyinitaly |
_version_ |
1725731705799573504 |