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Created on : 05 Apr 2005
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Birth in standing position: a high frequency of third degree tears. Acta Obstet Gynecol Scand. 1994 Sep;73(8):630-3.

Author(s) :

Gareberg B, Magnusson B, Sultan B, Wennerholm UB, Wennergren M, Hagberg H.

Year of publication :

1994

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

BACKGROUND: During the past years a major change in the use of delivery position has occurred in Sweden. Recumbent delivery positions have been replaced by a variety of positions: squatting, standing, lateral, kneeling and quadruped. The consequences of this shift in obstetrical practice for development of perineal lacerations are largely unknown.

METHOD: Retrospective comparison of uncomplicated deliveries in standing (n = 650) and sitting (n = 264) position with respect to third degree lacerations.

RESULTS: The standing and sitting delivery group were similar with respect to maternal, infant and delivery characteristics. The frequency of third degree tears was 2.50% in standing and 0.38% in sitting birth position (p < 0.05). In nulliparous women, third degree tears occurred in 4.2% in standing and 1.0% in sitting position.

CONCLUSION: The present data implies that the risk of third degree lacerations is considerably higher (7 x) in standing than in sitting birth positions.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Cette étude suédoise trouve 4 fois plus déchirures du 3edegré dans les positions d’accouchement verticales (à genoux, quatre pattes, debout,…) qu’en position assise. Pas de différence sur la santé du nouveau-né.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ history, sociology ; evidence-based medicine/midwifery ; position during labor ; physiology ; perineal/vaginal tears

Author of this record :

Cécile Loup — 05 Apr 2005