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Clinical Trial
. 1997 May;104(5):567-71.
doi: 10.1111/j.1471-0528.1997.tb11534.x.

Randomised trial comparing the upright and supine positions for the second stage of labour

P R de Jong  1 , R B Johanson, P Baxen, V D Adrians, S van der Westhuisen, P W Jones
Affiliations
Clinical Trial

Randomised trial comparing the upright and supine positions for the second stage of labour

P R de Jong et al. Br J Obstet Gynaecol. 1997 May.

Abstract

Objective: To assess the maternal and neonatal effects of upright compared with recumbent positions during delivery, in terms of defined outcome variables.

Design: A randomised controlled trial.

Setting: St Monica's Nursing Home, a midwife based maternity unit in Cape Town, South Africa.

Participants: Five hundred and seventeen women of low obstetrical risk assigned to deliver at the nursing home.

Results: The trial showed that women who adopted the upright posture for delivery experienced less pain. perineal trauma and fewer episiotomies than those who delivered in the supine position.

Conclusion: The data suggest that in women of low obstetrical risk, choice of posture during delivery may be encouraged.

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