Mohamed A Awad, Wafaa M Kamal, Emad Salah

Mohamed A Awad, Wafaa M Kamal, Emad Salah – Effect of Upright versus Recumbent Positions on Labour Outcomes. Fizjoterapia Polska 2019; 19(3); 174-179

Abstract
Aim. This study was to find out the impact of uprighting versus lying down positions on labour outcomes.
Subjects. Sixty women between 37-41 weeks’ gestational ages in active phase of first stage of labour participated in this study. They were selected randomly from Kasre Al-Ainy University Hospital in Cairo, Cairo University. Their ages ranged from 18-35 years old and their BMI were not more than 35 kg/m2. They were with single live fetus and their fetus was in cephalic presentation. They were without any pregnancy or medical complications. participants were indiscriminately allocated into 2 identical groups: Group A (Upright group) composed of thirty women who adopted the upright positions. Group B (Recumbent group) consisted of thirty women who remained in bed (supine or side lying positions).
Methods. Body Mass Index was assessed by weight-height scale. Duration of stages of labour was assessed using stop watch. Labour pain intensity was assessed by using visual analogue scale at 3-5 cm and 7-8 cm of cervical dilatation. Fetal heart rate was assessed by using cardiotocography. Apgar score of the newborns was assessed by using Apgar test at 1 minute and at 5 minutes after birth.
Results. Results of this study revealed that duration of 1st, 2nd and 3rd stage of labour, labour pain and fetal heart rate decreased significantly in upright group than recumbent group. Apgar score of the newborns decreased significantly in recumbent group than upright group. 10% of upright group delivered normal labour with episiotomy while 30% in recumbent group. 6.6% of upright group used forceps delivery while 20% in recumbent group. 20% of upright group delivered cesarean section while 40% in recumbent group.
Conclusion. Upright positions had favorable impact on labor progression through decreasing length of labor course and labour pain and consequently better neonatal outcomes.

Key words:
Upright positions, Recumbent positions, Labour outcomes

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