Document Detail

A review of alternative birthing positions.
MedLine Citation:
PMID:  10522085     Owner:  NLM     Status:  MEDLINE    
This article reviews a number of nonevidenced-based studies that have been conducted on the different physical positions of labor and delivery. A review of the literature disclosed that the traditional supine position appeared to be associated with a prolonged second stage of labor and persistence of occiput posterior presentations. However, the supine and left lateral positions are excellent for providing anesthesia and access, although there may be a little added benefit for the parturient's comfort. The sitting, squatting, and hands-and-knees positions offer superior patient participation. The squatting position held for a long time may be physically stressful. The sitting and standing positions are known for occasional excessive hemorrhage and added expense. The hands-and-knees position offers the advantages of the gravitation effect of the upright positions and may be associated with less perineal damage. Overall, there has been no report of any harm to the infant when alternative positions are used.
F W Kelly; R Terry; R Naglieri
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the American Osteopathic Association     Volume:  99     ISSN:  0098-6151     ISO Abbreviation:  J Am Osteopath Assoc     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-10-27     Completed Date:  1999-10-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503065     Medline TA:  J Am Osteopath Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  470-4     Citation Subset:  IM    
Family Practice Residency Program, Wilson Memorial Regional Medical Center, Johnson City, NY 13790, USA.
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MeSH Terms
Delivery, Obstetric / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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