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https://ciane.net/id=1175

Criado em : 21 Apr 2005
Alterado em : 23 Nov 2018

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Nota bibliográfica (sem autor) :

A trial of delivery in a birth chair. Journal of Obstetrics & Gynaecology 1986;6:162-5.

Autores :

Hemminki E, Virkkunen A, Makela A, et al.

Ano de publicação :

1986

URL(s) :

https://www.tandfonline.com/doi/abs/10.3109/014436…
https://doi.org/10.3109/01443618609079178

Résumé (français)  :

Abstract (English)  :

The purpose of this study was to find out whether looking after mothers in a birth chair during the second stage of labour had advantages over looking after mothers in a normal delivery bed. One hundred and seventy-five women were randomly allocated. Otherwise care resembled the everyday care given in the hospital. Mothers were more satisfied with the birth chair than they were with the delivery bed. With regard to the progress of labour and delivery and the health of the child and mother, the groups were fairly similar.

Randomisation was by means of sealed envelopes in blocks of ten, stratified for gravidity. Women were randomised during the first stage of labour.
175 women, Kainuu, Finland.
88 study participants.
87 control participants.
All women had reached 35 weeks completed gestation.
Singleton pregnancies.
No contra-indications for normal vaginal delivery.
Vertex presentation.
No medical, surgical or obstetric complications.

Study group:
Position in the second stage of labour for women without epidural anaesthesia
88 women were randomised during the first stage of labour to use a birth chair. The mean cervical dilatation when transferred to the chair was 8.8 cm. The chair was made locally and was normally maintained with the back 60-70 degrees from the horizontal. 12 women did not deliver in the chair.

Control group:
87 women lay on their backs, propped up less than 45 degrees from the horizontal.

Outcomes: There were no statistically significant differences between the two groups for maternal age, gestation, gravidity, birthweight and Apgar scores.

Sumário (português)  :

Resumen (español)  :

Comentários :

Argument (français) :

Les mères étaient plus satisfaites de la chaise de naissance que du lit d’accouchement. En ce qui concerne les progrès du travail et de l’accouchement et la santé de l’enfant et de la mère, les groupes étaient assez similaires.

Argument (English):

Mothers were more satisfied with the birth chair than they were with the delivery bed. With regard to the progress of labour and delivery and the health of the child and mother, the groups were fairly similar.

Argumento (português):

As mães estavam mais satisfeitas com a cadeira de parto do que com a cama de parto. No que diz respeito ao progresso do trabalho de parto e parto e à saúde da criança e da mãe, os grupos foram bastante semelhantes.

Argumento (español):

Palavras-chaves :

➡ medicina baseada em evidências ; fisiologia ; posição durante o trabalho de parto

Autor da esta ficha :

Cécile Loup — 21 Apr 2005
➡ última atualização : Bernard Bel — 23 Nov 2018