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https://ciane.net/id=1208

Criado em : 27 Apr 2005
Alterado em : 02 Dec 2007

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Nota bibliográfica (sem autor) :

Randomized trial comparing the upright and supine positions for the second stage of labour. Letter. Br J Obstet Gynaecol 1999;106:292.

Autores :

de Jong PR.

Ano de publicação :

1999

URL(s) :

Résumé (français)  :

Abstract (English)  :

517 women, Cape Town, South Africa.
257 study participants: 107 primigravidae, 150 multigravidae.
260 control participants: 115 primigravidae, 145 multigravidae.
All women had full term (37 weeks completed) gestation.
Singleton pregnancies.
No contraindications for normal vaginal delivery.
Vertex presentation.
No medical, surgical or obstetric complications.
No epidural anaesthesia.

Study group:
257 women were allocated to deliver in the upright position. 249/257 did maintain the position during
second stage. The women used a ’step stool’ covered with a foam mattress to deliver in a squatting position.
They were kept in this position for the 3rd stage of labour.

Control group:
260 women delivered in a supine position on a delivery bed.
All women were encouraged to walk, sit or recline during the
rst stage of labour.

Correction on state of perineum and vulva data was incorporated in this review (de Jong 1999).

Sumário (português)  :

Resumen (español)  :

Comentários :

présentation en anglais de l’étude : provient du full text de revue systématique Cochrane Gupta 2004 (fiche afar 1099).

Argument (français) :

Moins de douleurs, de traumatismes périnéaux et d’épisiotomies pour les femmes en position verticale comparée à la positions allongée.
Cf Fiche AFAR 1127 sur la même étude.
Etude prise en compte dans la revue systémtatique Cochrane Gupta 2004 (fiche afar 1099) et dans la revue Cochrane de Nikodem (2000).

Argument (English):

Argumento (português):

Argumento (español):

Palavras-chaves :

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

Autor da esta ficha :

Cécile Loup — 27 Apr 2005