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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Child birth in squatting position
Ayesha Nasir1, Razia Korejo, K J Noorani
1Department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Centre, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|February 27, 2007
Summary
The squatting position during labor may reduce instrumental deliveries, episiotomy extensions, and perineal tears compared to the supine position. This labor position offers potential benefits for maternal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Labor and Delivery Practices
Background:
- The second stage of labor involves different maternal positioning choices.
- Traditional supine positioning is common, but alternative positions are being explored for potential benefits.
Purpose of the Study:
- To compare the risks and benefits of the squatting position versus the supine position during the second stage of labor.
Main Methods:
- A randomized controlled study involving 200 women in active labor with cephalic presentation.
- Participants were divided into two groups: squatting and supine during the second stage of labor.
- Exclusion criteria included multiple gestations, malpresentation, and previous uterine scars.
Main Results:
- The squatting group showed significantly fewer episiotomy extensions (P < 0.05) and no second or third-degree perineal tears.
- Instrumental deliveries (forceps) and shoulder dystocia were significantly lower in the squatting group (P < 0.05).
- The squatting group had fewer cases of retained placenta and postpartum hemorrhage compared to the supine group.
Conclusions:
- The squatting position during the second stage of labor appears to be associated with reduced instrumental deliveries, episiotomy extensions, and perineal trauma.
- Further research may confirm the advantages of squatting for improved maternal outcomes in labor.
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