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Maternal positions and pushing techniques in a nonprescriptive environment.

M A Rossi, S G Lindell

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |May 1, 1986
    PubMed
    Summary
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    Women naturally choose diverse labor positions and breathing techniques during childbirth. A nonprescriptive approach demonstrated no adverse outcomes, supporting the acceptability of allowing birthing women to follow their instincts.

    Area of Science:

    • Obstetrics and Gynecology
    • Maternal Health
    • Labor and Delivery

    Background:

    • Traditional labor management often involves prescriptive approaches to positions and breathing.
    • Limited research exists on maternal choice in second-stage labor positions and breathing techniques.
    • Understanding spontaneous choices can inform evidence-based, woman-centered care.

    Purpose of the Study:

    • To observe and document maternal choices in positions and breathing techniques during the second stage of labor.
    • To assess the safety and outcomes associated with a nonprescriptive approach to labor support.
    • To evaluate the acceptability of allowing women to follow their innate birthing impulses.

    Main Methods:

    • Observational study design.
    • Inclusion of 50 women experiencing the second stage of labor and birth.

    Related Experiment Videos

  • Documentation of chosen maternal positions and expulsive breathing techniques.

    • Main Results:

    • Observation of 50 second stages and births.
    • Identification of nine distinct maternal positions utilized.
    • Documentation of three variations in expulsive breathing techniques employed.
    • Absence of adverse outcomes noted in all observed births.
    • All measured outcome parameters remained within normal ranges.

    Conclusions:

    • A nonprescriptive approach to labor support, allowing women freedom in position and breathing choices, is safe and acceptable.
    • Maternal instincts and choices during labor are valid and can lead to normal birth outcomes.
    • Further research is warranted to confirm the long-term safety and efficacy of a nondirective approach to childbirth.