Active delivery: is it advantageous?

Leanza, Vito and Scavone, F. and Mastellone, O. and Accardi, Manuela (2007) Active delivery: is it advantageous? Giornale italiano di ostetricia e ginecologia, 29 (12). pp. 389-392. ISSN 1971-1433

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Objective: to assess the risks and benefits of two methods of delivering: active birth (upright and squatting) position versus traditional lithotomic position. Methods: the study was conducted at the Maternal-Infant Department, Azienda Ospedaliero-Universitaria “Vittorio Emanuele, Ferrarotto, S.Bambino”- Catania (Italy), from 2000 to 2007. A total of 500 patients of similar ante-partum, intrapartum and socio-economic conditions were selected for the study. Only patients of gestation of more than 38 weeks, presenting in active labour with cephalic presentation were included. Exclusion criteria: multiple gestation, malpresentation, either previous caesarean section or myomectomy, foetal malformations or rupture of the membranes. Random selection was done after informing the patients about the modality of the position. The sample was divided into two groups: A-group (250 patients) adopted dynamic squatting position (active birth); B-group (250 patients): supine lithotomic position. Questionnaire was used to evaluate satisfaction criteria. Chi-square and t student tests were used for statistic evaluations. P value > 0.05 was considered not statistically significant. Results: there was a not significant decrease of medical treatment (p=0.328), the length of second stage of the labour was less in A-group and it was statistically significant (p=0.0001), significant low rate of episiotomy (p=0.0204), para-urethral tears and vaginal trauma were similar (p=0.669), vacuum application was not significant (p=0.917) and no significant difference in Apgar score. Satisfaction score was significantly higher in A-group (χ2 =30.01; p=0.001). Conclusion: active birth is associated with both clinical and psychological benefits, and active birth is also considered more accepted by the woman in labour.

Item Type: Article
Uncontrolled Keywords: Active birth, squatting position, perineal trauma, delivery
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 618 Altri rami della medicina; Ginecologia e ostetricia, Pediatria, Geriatria
Depositing User: Matteo Viola
Date Deposited: 19 Jun 2013 15:38
Last Modified: 19 Jun 2013 15:38

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