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Effect of upright and ambulant positions versus lying down during the active first stage of labor on birth outcomes among nulliparous women:randomized controlled clinical trial

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Frontiers of Nursing 2020年第3期7卷 239-248页

作者： Heba Abdel-Fatah Ibrahim Hanan Ibrahim Ibrahim Said Wafaa Taha Ibrahim Elgzar Obstetrics and Woman Health Nursing department Benha UniversityBenhaKalubia 13741Egypt Maternity and Childhood Nursing Department Nursing CollegeNajran UniversityNajran 66251Kingdom of Saudi Arabia Obstetrics and Gynecologic Nursing department Damanhour UniversityDamanhour 22511Egypt

Objective:To examine the effect of upright and ambulant positions versus lying down during the active first stage of labor on birth outcomes for nulliparous women.Methods:This is a randomized controlled clinical trial conducted at the delivery department of Damanhour Educational Institute,El Behira Governorate,Egypt.The study sample involved 150 parturient women equally divided into intervention and control groups using randomization block technique.The researchers used four tools for data collection:Demographic data interview schedule,World Health Organization Partograph,Apgar’s score,to evaluate neonatal outcomes,and visual analogue pain intensity scale.For the study group,the parturient women were encouraged to assume one of the upright positions or ambulating around the bed so as to maintain the pelvis in vertical plane as far as possible for 20-25 min for every 1 h.The control group received routine hospital care,which includes lying down in bed.IBM SPSS 23.0 was used to analyze the data.Results:Significant differences(P0.05)were observed between both groups in term of emergency cesarean birth rates,oxytocin use,and neonatal outcomes.Conclusions:This study proves that upright and ambulant positions significantly enhance uterine contractility,cervical dilatation,and fetal head descent and reduce the first stage duration.

关键词： birth outcomes first stage of labor lying down upright position

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