| Effect of Postpartum Outcomes in Mother's Upright Position During the Second Stage of Labor: Systematic Review |
|
Seong Hi Park, Jeonghae Hwang, Yun Kyoung Choi, Chang Bum Kang |
1School of Nursing, Hanzhong University, Donghae, Korea.
2Department of Health Administration, Hanyang Cyber University, Seoul, Korea.
3Department of Nursing, Korea National Open University, Seoul, Korea. ykchoi2012@knou.ac.kr
4Research Development Team, Korea Health Promotion Foundation, Seoul, Korea. |
|
|
| Abstract |
PURPOSE
The purpose of this study was to determine whether upright position is effective in labor through systematic review in randomized controlled trials.
METHODS
We established the PICO (Patient-Intervention-Comparator-Outcome) strategy, and reviewed 282 literatures from national and international electronic databases, and finally selected 9 references based on inclusion and exclusion criteria. We evaluated the quality of references and carried out a meta-analysis.
RESULTS
The maternal outcomes showed that the duration of their second-stage labor was 2.29 minutes shorter than that of the women in the recumbent position, and were less likely to have episiotomy. The other outcomes, including the mode of delivery, blood loss, hemoglobin level, use of oxytocin, use of analgesics, and perineal laceration, did not differ between the groups. The fetal heart rate abnormality occurred less than in the control group. The Apgar scores of the groups did not differ.
CONCLUSION
There is evidence that an upright position in the second stage of labor reduces the duration of the second stage of labor, the incidence of episiotomy, and an abnormal fetal heart rate. |
| Key Words:
Posture; Meta-analysis; Randomized controlled trial; Labor stage; second |
|
PDF Links
Full text via DOI
Download Citation
