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Créée le : 18 Apr 2005
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Notice bibliographique (sans auteurs) :

The squatting position for the second stage of labor: effects on labor and on maternal and fetal well-being. Birth. 1993 Jun;20(2):73-8.

Auteur·e(s) :

Golay J, Vedam S, Sorger L.

Année de publication :

1993

URL(s) :

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

Résumé (français)  :

Abstract (English)  :

A cohort study was designed to assess the effects of maternal squatting position for the second stage of labor on the evolution and progress of labor, and on maternal and fetal well-being. Outcomes from 200 squatting births, randomly selected from a sample of 1000, were compared with 100 semirecumbent births, randomly selected from a sample of 300. Data collection was by chart review. The two groups were similar with respect to most antepartal, intrapartal, and socioeconomic variables likely to affect labor outcomes. The mean length of the second stage of labor was 23 minutes shorter in squatting primiparas and 13 minutes shorter in squatting multiparas than in semirecumbent women. Squatting women required significantly less labor stimulation by oxytocin during second stage (P = 0.0016), and they showed a trend toward fewer mechanically assisted deliveries. Significantly fewer and less severe perineal lacerations occurred, and fewer episiotomies were performed in the squatting group (P = 0.0001). No statistically significant differences were found between groups for third-stage complications and infant complications.

Sumário (português)  :

Resumen (español)  :

Remarques :

Argument (français) :

L’accouchement est plus rapide en position accroupie qu’en position semi-allongée, avec moins de déchirures sévères et moins d’interventions.

Argument (English):

The mean length of the second stage of labor was 23 minutes shorter in squatting primiparas and 13 minutes shorter in squatting multiparas than in semirecumbent women.

Argumento (português):

Argumento (español):

Mots-clés :

➡ médecine factuelle ; position en cours de travail ; physiologie ; durée du travail ; déchirures ; épisiotomie ; gestion active du travail

Auteur·e de cette fiche :

Cécile Loup — 18 Apr 2005