Effect of Maternal Semi-Sitting, Dorsal Recumbent and Lithotomy Positions on the Progress of Labor: A Comparative Approach

Document Type : Original Article

Authors

1 Assist. Lecturer of Maternity and Gyne. Nursing, Faculty of Nursing, Beni Suef University,

2 Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing , Zagazig University

3 Professor of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University,

4 Lecturer of Maternity and Gynecological Nursing, Faculty of Nursing, Ismailia, Suez Canal University

Abstract

Although various positions adopted during labor and delivery has been studied over the
past 40 years, controversy still surrounds the results regarding obstetric variables. The aim of
this study was to compare the effect of maternal semi-sitting and dorsal recumbent versus
lithotomy positions on the progress of labor. A Quasi-experimental research design was
adopted. Setting: The study was carried out in the labor ward of the General Hospital and the
Health Insurance Hospital in Beni Suef Governorate. The sample were eighty parturient
recruited in each of the three labor positions: semi-sitting (SS), dorsal recumbent (DR), and
lithotomy (LI) positions. Tools of data collection were; a structured interview schedule, an
assessment sheet of mother fetal condition, and observation checklist: to collect data about
details of second and third stage of labor. The results of the study revealed that the mean
duration, frequency, and intensity of the uterine of the contractions were highest in the SS
group, and lowest in the LI (p<0.001). No significant differences were noticed among the
three groups in their vital signs, but women in the SS group had women who were higher
mean diastolic pressure (p<0.001). The mean duration of the second and third stages in the
SS group was lower than those in the DR and LI groups. Conclusion: The frequency,
intensity, and duration of the uterine contractions were better compared to dorsal recumbent
and lithotomy positions. The mean durations of the second and third stages were also
significantly shorter. Recommendations: the utilization of the semi-sitting labor position
must be encouraged, with randomized clinical trial to provide further confirmation of the
study findings.

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