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Why deliver in the supine position?

G N Allahbadia1, P R Vaidya

  • 1Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Bombay, India.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|May 1, 1992
PubMed
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Comparing labor positions, squatting shortened labor stages but increased complications. The study suggests the supine position is preferable without specialized birthing chairs for perineal support.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Labor and Delivery Practices

Background:

  • Traditional labor positions may not be optimal for all settings.
  • Evidence comparing supine, ambulatory, and squatting positions during labor is limited.
  • The study addresses the need for evidence-based recommendations on labor positioning.

Purpose of the Study:

  • To compare the routinely used supine position with ambulation during the first stage and squatting during the second stage of labor.
  • To evaluate the impact of different labor positions on the duration of labor stages.
  • To assess the incidence of complications associated with each labor positioning method.

Main Methods:

  • A comparative study involving 200 patients (primigravidas and multigravidas) at a hospital in Bombay, India.

Related Experiment Videos

  • 100 patients remained in the supine position throughout labor (control group).
  • 100 patients were ambulatory in the first stage and adopted a squatting position in the second stage.

    • Main Results:

    • The squatting group experienced a shorter duration for both the first and second stages of labor.
    • The control group (supine position) exhibited a lower incidence of labor complications.
    • The study highlights a trade-off between labor duration and complication rates based on positioning.

    Conclusions:

    • While squatting can shorten labor, the supine position is considered preferable in settings lacking adequate birthing chairs for perineal support.
    • The findings emphasize the importance of appropriate equipment and support for alternative labor positions.
    • Further research is needed to optimize labor positioning strategies considering safety and efficacy.