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Published on: February 5, 2019
[Role of deambulation during labour: A prospective randomized study].
L Ben Regaya1, R Fatnassi, A Khlifi
1Centre de maternité, hôpital Farhat Hached, 4000 Sousse, Tunisie. brlfr@yahoo.fr
Summary
Encouraging ambulation during the first stage of labor significantly shortens labor duration and improves maternal and infant outcomes. This practice reduces pain, interventions, and complications for both mother and baby.
Area of Science:
- Obstetrics and Gynecology
- Labor and Delivery Research
- Maternal-Fetal Medicine
Context:
- The first stage of labor is a critical period influencing delivery outcomes.
- Current practices often involve continuous bed rest, potentially impacting labor progress.
- Evidence on the benefits of ambulation during early labor is evolving.
Purpose:
- To evaluate the impact of ambulation during the first stage of labor on labor duration.
- To assess the effects of ambulation on maternal and infant outcomes.
- To compare outcomes between women who ambulate and those confined to bed.
Summary:
- A prospective randomized trial involving 200 mothers with uncomplicated term pregnancies was conducted.
- One group ambulated until 6cm cervical dilation; the other remained in bed.
- Ambulation significantly reduced labor duration by 34%, decreased pain, and lowered oxytocin use.
Impact:
- Ambulation led to fewer cesarean sections and instrumental deliveries.
- Maternal side effects decreased from 13% to 7% in the ambulation group.
- Fetal outcomes improved, with better Apgar scores and a fivefold reduction in neonatal unit transfers.