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Positioning during the second stage of labor: moving back to basics
1Labor and Delivery Department, Medical College of Virginia Hospitals, Richmond, USA.
Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|December 13, 1997
Summary
Upright positions during labor offer numerous benefits, supported by historical, physiological, and psychosocial evidence. Modern obstetric practices can be adapted to facilitate these advantageous positions for improved labor management.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Labor and Delivery Practices
Background:
- Historically, upright positions were common during childbirth.
- Physiological and psychosocial benefits of upright labor positions are increasingly recognized.
- Modern obstetric interventions may influence the use of upright positions.
Observation:
- Electronic fetal monitoring and anesthesia can impact laboring positions.
- Research from the Association of Women's Health, Obstetric, and Neonatal Nursing (AWHONN) National Research Utilization Project informs labor management.
- The second stage of labor is a critical period for position choices.
Findings:
- Upright positions during labor are associated with significant advantages.
- Evidence supports the integration of upright positions within contemporary obstetric care.
- Specific findings from AWHONN's research highlight the benefits of upright positions in the second stage of labor.
Implications:
- Healthcare providers should consider facilitating upright positions during labor.
- Labor and delivery units can implement strategies to support upright laboring postures.
- Encouraging upright positions may enhance the labor experience and outcomes for women.