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Anatomical Positions01:11

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In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
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US Nurses' Practices on Maternal Position Changes During Labor.

Erin K Johnson, Drew Hensel, Rachel Paul

    MCN. the American Journal of Maternal Child Nursing
    |December 30, 2025
    PubMed
    Summary

    US nurses frequently use maternal position changes during labor, believing they improve outcomes. However, evidence supporting specific positions or circuits is limited, necessitating further research.

    Keywords:
    ChildbirthLaborNursingObstetricParturitionQuestionnairesSurveys

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    Area of Science:

    • Obstetrics and Gynecology
    • Nursing Research
    • Maternal Health

    Background:

    • Maternal positioning during labor is a common practice.
    • Understanding nurses' perspectives and practices is crucial for evidence-based care.
    • Limited research exists on the effectiveness of specific labor positions and circuits.

    Purpose of the Study:

    • To describe US nurses' perspectives on maternal position changes during labor.
    • To characterize nurses' practices and indications for using position changes.
    • To explore factors influencing the use of position change circuits.

    Main Methods:

    • National survey of labor and delivery nurses.
    • Dissemination via social media and email with snowball sampling.
    • Descriptive and bivariate analyses of survey responses.

    Main Results:

    • 99% of nurses use maternal position changes; 96% believe they improve outcomes.
    • Common indications include slow labor progress and fetal malposition.
    • Two-thirds of nurses use position change circuits; younger nurses more likely to use them.

    Conclusions:

    • Maternal position changes are widely used but lack strong evidence for specific outcomes.
    • Further research is needed on the effectiveness of circuit-based position changes.
    • Focus on prolonged first-stage labor and evidence-based guidelines is recommended.