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Squatting position for delivery

G N Allahbadia¹, P R Vaidya

¹Department of Obstetrics and Gynaecology, LTMM College and LTMG Hospital, Sion, Bombay.

Journal of the Indian Medical Association

|January 1, 1993

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Squatting during labor shortened labor duration for both primigravidae and multigravidae. However, squatting increased maternal injuries, suggesting the supine position is preferable without specialized birthing chairs.

Area of Science:

Obstetrics and Gynecology
Maternal Health
Labor and Delivery Practices

Background:

The supine position is the conventional laboring position.
Alternative labor positions, such as squatting, are explored for potential benefits.

Purpose of the Study:

To compare the effects of squatting versus the supine position on labor duration and outcomes.
To evaluate maternal and fetal complications associated with different labor positions.

Main Methods:

A randomized controlled trial involving 200 normal pregnant women.
Participants were assigned to either a control group (supine position) or a squatting group (ambulatory first stage, squatting second stage).
Labor duration, delivery mode, and maternal/fetal complications were recorded.

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Main Results:

The squatting group experienced significantly shorter first and second stages of labor compared to the control group.
While fetal complications were similar, maternal injuries were higher in the squatting group (38 cases) versus the control group (14 cases).
Normal vaginal deliveries were comparable, but forceps deliveries were slightly lower in the squatting group.

Conclusions:

Squatting can reduce labor duration but may increase maternal injuries without adequate support.
The supine position is considered preferable in the absence of specialized birthing chairs providing sufficient perineal support.