Supine position compared to other positions during the second stage of labor: a meta-analytic review

Journal of Psychosomatic Obstetrics and Gynaecology
A De JongeA L M Lagro-Janssen

Abstract

The routine use of the supine position during the second stage of labor can be considered to be an intervention in the natural course of labor. This study aimed to establish whether the continuation of this intervention is justified. Nine randomized controlled trials and one cohort study were included. A meta-analysis indicated a higher rate of instrumental deliveries and episiotomies in the supine position. A lower estimated blood loss and lower rate of postpartum hemorrhage were found in the supine position, however it is not clear whether this is a real or only an observed difference. Heterogenous, non-pooled data showed that women experienced more severe pain in the supine position and had a preference for other birthing positions. Many methodological problems were identified in the studies and the appropriateness of a randomized controlled trial to study this subject is called into question. A cohort study is recommended as a more appropriate methodology, supplemented by a qualitative method to study women's experiences. Objective laboratory measurements are advised to examine the difference in blood loss. In conclusion, the results do not justify the continuation of the routine use of the supine position during the second...Continue Reading

References

Jan 14, 1978·Lancet·T J McManus, A A Calder
May 1, 1992·The Australian & New Zealand Journal of Obstetrics & Gynaecology·G N Allahbadia, P R Vaidya
Jul 1, 1991·British Journal of Obstetrics and Gynaecology·P CrowleyN Duignan
Jul 1, 1989·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·M K Shannahan, B H Cottrell
Nov 1, 1989·British Journal of Obstetrics and Gynaecology·J GardosiC B-Lynch
Mar 1, 1989·European Journal of Obstetrics, Gynecology, and Reproductive Biology·J K GuptaR J Lilford
Mar 1, 1989·British Journal of Obstetrics and Gynaecology·P Stewart, H Spiby
Jan 1, 1989·Image--the Journal of Nursing Scholarship·Y C Liu
Aug 1, 1987·British Journal of Obstetrics and Gynaecology·F D JohnstoneA K Harouny
May 1, 1987·Journal of Nurse-midwifery·P M Nodine, J Roberts
Feb 1, 1985·The Australian & New Zealand Journal of Obstetrics & Gynaecology·H S Liddell, P R Fisher
Dec 1, 1973·The Journal of Obstetrics and Gynaecology of the British Commonwealth·M HumphreyC Wood
May 1, 1984·Journal of Nurse-midwifery·J E Roberts, D M Kriz
Jan 1, 1983·Journal of Perinatal Medicine·M MarttilaO Ylikorkala
Sep 1, 1982·British Journal of Obstetrics and Gynaecology·J G Russell
Jan 1, 1995·Journal of Nurse-midwifery·M T Lydon-RochelleD Teaf
Sep 1, 1994·Acta Obstetricia Et Gynecologica Scandinavica·B GårebergH Hagberg
Sep 1, 1994·Geburtshilfe und Frauenheilkunde·M KafkaZ Maly
May 1, 1997·British Journal of Obstetrics and Gynaecology·P R de JongP W Jones
Jun 25, 1998·Journal of Psychosomatic Obstetrics and Gynaecology·L Hagymásy, J Gaál
Jan 14, 1999·Gynäkologisch-geburtshilfliche Rundschau·A Rohrbacher, H Salzer
Jan 20, 1999·Birth·P Aikins Murphy, J B Feinland
Mar 13, 1999·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S Bomfim-Hyppólito
Feb 2, 2002·Health Care for Women International·Linda M HuntDavid C Halperin
Jan 12, 1963·British Medical Journal·D P CHAN

❮ Previous
Next ❯

Citations

May 12, 2010·International Journal of Clinical Practice·A De JongeA L M Lagro-Janssen
Jan 4, 2012·Journal of Psychosomatic Obstetrics and Gynaecology·Marianne NieuwenhuijzeToine Lagro-Jansse
Jun 24, 2014·BioMed Research International·Salvatore GizzoGiovanni Battista Nardelli
Jan 26, 2016·American Journal of Physical Anthropology·Pamela K Stone
Nov 10, 2018·The Cochrane Database of Systematic Reviews·Kate F WalkerNia W Jones
Jan 16, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·A de JongeA L M Lagro-Janssen
Jun 25, 2009·Revista latino-americana de enfermagem·Michele Edianez Gayeski, Odaléa Maria Brüggemann
Feb 24, 2017·The Cochrane Database of Systematic Reviews·Marion Kibuka, Jim G Thornton
Aug 30, 2008·Journal of Advanced Nursing·Ank de JongeAntoine L M Lagro-Janssen
Nov 10, 2012·American Journal of Physical Anthropology·Jonathan C K WellsJay T Stock
Sep 21, 2004·Journal of Psychosomatic Obstetrics and Gynaecology·A De Jonge, A L M Lagro-Janssen
Sep 5, 2015·International Urogynecology Journal·Maurizio SeratiFabio Ghezzi
Jul 11, 2021·Birth·Shefaly ShoreyJoan Gabrielle Lalor
Aug 22, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Maddalena GiacomozziMerette Khalil

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.