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Comparing maternal and neonatal outcomes between hands-and-knees delivery position and supine position

International Journal of Nursing Sciences 2016年第2期3卷 178-184页

作者： Hong-Yu Zhang Rong Shu Ning-Ning Zhao Yu-Jing Lu Min Chen Ying-Xia Li Jun-Qin Wu Li-Hua Huang Xiao-Lan Guo Yu-Hong Yang Xiao-Li Zhang Xiao-Yu Zhou Ren-Fei Guo Jing Li Wen-Zhi Cai Nursing Dept.of Hainan Medical University Haikou 571119China Nanfang Medical University Guangzhou 520000China Dept.of Obstetric Cangxian HospitalCangzhou 061000China Dept.of Obstetric Dongchang Maternal and Child Health HospitalLiaocheng 252000China Dept.of Obstetric Gongan People's HospitalJingzhou 434300China Dept.of Obstetric Yanshan People's HospitalCangzhou 061300China Dept.of Obstetric Dongguan Maternal and Child Health HospitalDongguan 523002China Dept.of Obstetric Baoan Maternal and Child Health HospitalShenzhen 518101China Dept.of Obstetric Juxian People's HospitalRizhao 276500China Dept.of Obstetric East Part of the Fourth Hospital of Hebei Medical UniversityShijiazhuang 050035China Dept.of Obstetric Nanhai People's HospitalFoshan 528200China Dept.of Obstetric Haikou Maternal and Child Health HospitalHaikou 571100China Dept.of Obstetric Jiangmen Wuhu Chinese Medicine HospitalJiangmen 529020China

Background:The supine position is the most common birth position adopted in China,but the World Health Organization recommends non-supine positions for *** handsand-knees position shows several advantages,such as wide pelvic diameter and easy fetal rotation during *** trials conducted in China in 2011 revealed that the handsand-knees position resulted in improved maternal and neonate outcomes than those in the supine ***,a comprehensive study must be conducted before the handsand-knees position can be introduced into clinical ***,we conducted this multicenter trial to comprehensively examine the benefits of the hands-and-knees position over the supine position during ***:Our clinical study was conducted in 11 hospitals in China from May to December 2012.A total of 446 pregnant women who gave birth in the hands-and-knees position were assigned into the experimental group,and 440 women who gave birth in the supine position were classified into the control *** rate was evaluated as the primary outcome,and perineum laceration degree was considered the secondary ***:Women in the experimental group achieved lower rates of episiotomy and higher rates of intact perineum and first-degree perineum lacerations compared with those in the *** bleeding amount,neonatal asphyxia,and APGAR scores at 1 and 5 min were not significantly different between the two ***:This study proves that women who delivered in the hands-and-knees position achieved low rates of episiotomy and intact ***,the rates of neonatal asphyxia and postpartum bleeding did not *** patients who prefer to adopt the hands-and-knees position should be assisted in assuming such position during delivery.

关键词： supine delivery position Hands-and-knees delivery position Episiotomy

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