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40050

Effect of Maternal Semi Sitting Versus Dorsal Recumbent Position during the Second Stage of Labor on Maternal, Fetal and Neonatal Outcome

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Last updated: 04 Jan 2025

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Abstract

Position affects the woman's anatomic and physiological adaptation to labor. For the second stage of labor an ideal position would open the pelvic outlet as widely as possible, provide a smooth path for the baby to descend through the birth canal, use the advantages of gravity to help the baby move down and give the mother a sense of the process. A Quasi experimental design was used in carrying out this study that aimed to assess the effect of maternal semi-sitting versus dorsal recumbent position on labor outcomes. It was carried out at the delivery unit of IsmailiaUniversityHospital. A representative sample of 200 women was recruited for this study according to certain criteria. The study subjects were equally divided into two equal groups, group I who assumed the semi-sitting position and group II who assumed the dorsal recumbent position. Data were collected through a structured interviewing schedule, and an observation checklist that were developed, validated and used to collect the necessary data. . The results revealed that group II had lower B.P (35.0%) compared to group I (3.0%). uterine contractions with an interval of 2 min., longer duration (>70-90 sec.) and severe intensity were significantly higher (89.0%, 93.0% and 95.0%) of group I respectively. Moreover, women they were more likely to push effectively (92.0%) of group I than group II (73.0%). Fetal heart rate below normal (15.0%) of group II   compared to(3.0%)of group I .Spontaneous rupture of membrane was also higher (83.0%) among group I  compared to (81.0%) of group II .  Women in the group I had higher percentage of normal delivery (53.0%), and low percentage of episiotomy (25.0%) and perineal tear (22.0%) compared to group II (25.0%, 30.0% and 45.0% respectively). The mean duration of 2nd stage of labor was statistically higher (48.2±10.0) among group II than group I (42.3±8.5). Also mean neonatal Apgar score a statistically significant at first and fifth minutes among group I than group II. It is concluded that semi-sitting position had a significant effect on the improvement of labor outcomes. Thus it is recommended that birth attendant should be advised to deliver woman while she is in semi-sitting position instead of routine use of dorsal recumbent position during the second stage of labor.

DOI

10.21608/znj.2009.40050

Keywords

Semi-setting position – Dorsal recumbent position- Second stage of, labor – Maternal outcome- Fetal and neonatal outcome

Authors

First Name

Mervat

Last Name

Zaghaloul

MiddleName

G

Affiliation

Lecturer of Maternity, Obstetrics & Gynecological Nursing,, Faculty of nursing, Port- Said, Suez Canal University.

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First Name

Sonia

Last Name

Shargawey

MiddleName

G

Affiliation

Professor of pediatrics, Faculty of medicine, Suez canal University.

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Volume

5

Article Issue

2

Related Issue

6384

Issue Date

2009-07-01

Receive Date

2019-07-09

Publish Date

2009-07-01

Page Start

1

Page End

14

Print ISSN

2090-6110

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https://znj.journals.ekb.eg/article_40050.html

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https://znj.journals.ekb.eg/service?article_code=40050

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4

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Journal

Publication Title

Zagazig Nursing Journal

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https://znj.journals.ekb.eg/

MainTitle

Effect of Maternal Semi Sitting Versus Dorsal Recumbent Position during the Second Stage of Labor on Maternal, Fetal and Neonatal Outcome

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Article

Created At

22 Jan 2023