Effects of flexible sacrum positions during the second stage of labour on maternal and neonatal outcomes: A systematic review and meta-analysis

Journal of Clinical Nursing
Yu ZangXia Li

Abstract

To assess the effects of flexible sacrum positions on mode of delivery, duration of the second stage of labour, perineal trauma, postpartum haemorrhage, maternal pain, abnormal foetal heart rate patterns and Apgar scores based on published literature. Maternal positions served as a nonmedical intervention may facilitate optimal maternal and neonatal outcomes during labour. Flexible sacrum positions are conducive to expanding pelvic outlet. Whether flexible sacrum positions have positive effects on maternal and neonatal well-being is a controversial issue under heated discussion. We performed a systematic review and meta-analysis based on PRISMA guidelines. Randomised controlled trials (RCTs) comparing any flexible sacrum position with non-flexible sacrum position in the second stage of labour were included. PubMed, EMBASE, Cochrane Library, CINAHL, CNKI (China National Knowledge Infrastructure), SinoMed and Wanfang databases were searched from inception to 11 March 2019 for published RCTs. Risk of bias was assessed by the Cochrane criteria, and random-effects meta-analyses were conducted by RevMan 5.3. Sixteen studies (3,397 women) published in English were included. Flexible sacrum positions in the second stage of labour could...Continue Reading

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Citations

Jan 11, 2021·Computer Methods and Programs in Biomedicine·Margarida BorgesRenato Natal
Feb 20, 2021·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marit L Bovbjerg
May 29, 2021·European Journal of Midwifery·Laura Garbelli, Viviana Lira
May 16, 2021·Acta Obstetricia Et Gynecologica Scandinavica·Louise L KjeldsenRikke D Maimburg

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