[Upright birthing position--more birth canal injuries? Results of a retrospective comparative study]

The maternal birthing position is not only influenced by physical factors but also culture civilization. Nowadays more women prefer to give birth in an upright position (sit, squat, kneel) which is highly supported by some family practitioners. In this retrospective investigation we compared 3 different groups of maternal birthing positions (upright, lateral, mixed birthing position i.e. mainly on the back) concerning the fetal outcome and maternal perineal injury. There was no difference in the APGAR-values and umbilical cord pH. A higher incidence of intermediate and severe laceration as well as higher rates of episiotomy have been found in the mixed group (i.e. mainly on the back birthing position). Regarding our results and considering the literature we conclude that the upright birthing position brings no discredit upon newborn or the maternal perineum.