Effect of supported sitting position during second stage of labor on its outcome in primigravidae: A quasi-experimental study.

Autor: Chauhan J; Nursing Officer, All India Institute of Medical Sciences, New Delhi, Delhi, India., Vyas H; College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India., Singh P; Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India., Sharma MC; College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India., Thirunavukkarasu D; College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Jazyk: angličtina
Zdroj: Journal of family medicine and primary care [J Family Med Prim Care] 2023 Sep; Vol. 12 (9), pp. 2014-2019. Date of Electronic Publication: 2023 Sep 30.
DOI: 10.4103/jfmpc.jfmpc_359_23
Abstrakt: Background: The childbirth position has a significant influence on labor, maternal comfort, and neonatal outcome. In sitting position, there is a faster fetal descent with the effect of gravity. The information on this subject is relatively scant. Therefore, this study aimed to examine the effect of a supported sitting position during second stage of labor on its outcome in primigravidae.
Materials and Methods: A quasi-experimental study with a post-test only control group design was used. 60 primigravidae were selected using total enumerative sampling. The labor outcome was assessed by self-structured maternal neonatal outcome checklist and socio-demographic proforma.
Results: Statistically significant difference was observed on the mean duration of second stage of labor among primigravidae in control and experimental group (t = 5.87, P < 0.001) and also in the APGAR score of newborns (t = -3.98, P < 0.001). A statistical significant association of duration of second stage of labor with height and intensity of maternal work was also observed.
Conclusions: A supported sitting position during labor was found to be effective in reducing duration of the second stage of labor. This can be used as a nursing intervention while providing care during labor especially at primary healthcare centers that can help in reducing the duration of second stage of labor.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2023 Journal of Family Medicine and Primary Care.)
Databáze: MEDLINE