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Criado em : 05 Apr 2005
Alterado em : 02 Dec 2007

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Nota bibliográfica (sem autor) :

An experiment of squatting birth. Eur J Obstet Gynecol Reprod Biol. 1989 Mar;30(3):217-20.

Autores :

Gupta JK, Brayshaw EM, Lilford RJ.

Ano de publicação :

1989

URL(s) :

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

Résumé (français)  :

Abstract (English)  :

Women throughout the ages have preferred to be delivered with their trunks vertical and most delivery positions illustrated in historical texts show birth in an upright posture with abducted thighs. A consumer attitude study in our hospital showed that patients have considerable interest in alternative birth positions. Squatting has been advocated to prevent caval compression, increase the diameter of the pelvic outlet and, perhaps with least justification, to enlist the force of gravity and thereby facilitate maternal expulsive effort. Despite the extensive literature advocating squatting birth, the suggested advantages of this method have not been examined in any formal, let alone unbiased study. We therefore conducted a randomised trial to examine the effect of squatting on the duration of second stage of labour, the duration of pushing, and several other variables.

Randomisation was by opaque sealed envelopes, determined by a random number generator. Randomisation took place at 30 weeks’ gestation.

114 women, Leeds, England.
67 study participants.
47 control participants.
No further details of participants available.
Women had full term (37 weeks completed) gestation.
Singleton pregnancies.
Adequate pelvis.
No contraindications for normal vaginal delivery.
Vertex presentation.
No medical, surgical or obstetric complications.

Study group: 67 women were allocated at 30 weeks of gestation to deliver in a squatting position.
These women were asked to attend a special parentcraft class, concentrating on special leg exercises. These women were given advice on the advantages of squatting during delivery.
Women were encouraged to adopt the squatting position when full cervical dilatation had been reached.

Control group: 47 women were randomised to deliver in the conventional way.

Sumário (português)  :

Resumen (español)  :

Comentários :

Les auteurs ayant confondu introduction et résumé on n’en sait pas plus …)
Mise à jour 05/2007 : j’ai ajouté la description de l’étude trouvée dans revue systématique Cochrane Gupta 2004 (toujours sans les résultats)

Argument (français) :

Etude randomisée sur le second stade du travail comparant les positions assises et couchées. Etude prise en compte dans la revue systématique 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 ; idade materna

Autor da esta ficha :

Cécile Loup — 05 Apr 2005