The effect of sitting position versus walking positions during first stage of labor on pain intensity and labor outcomes among primiparous women
Keywords:
labor pain, labor outcomes, primiparous women, sitting position, walking positionAbstract
Background: Labor is a physiologic process and consideration of labor pain and relief that is among the major components of maternal care. Application of some labor positions can lay the fetus better in the pelvic canal direction. Aim of the study: to evaluate the pain intensity in the sitting position versus the walking position during the first stage of labor and investigate their effects on labor outcomes among primiparous women. Research design Quasi-experimental research design was utilized to fulfill the aim of this study. Setting: The study was carried out in the labor unit in the obstetric department at Mansoura University Hospital. Sample: Included 100 primiparous women in 1 st stage of labor were recruited in the study, they were divided into two equal groups; a sitting group (50) and a walking group (50) randomly selected through convenient sampling from those who were hospitalized in the previously selected setting with a gestational age of 37–42 weeks, singleton pregnancy, and with cephalic presentation. Tools: Structured Interviewing questionnaire sheet, Structured Observational Checklist including (Partograph and Apgar score), and Visual analogue pain intensity scale (VAS) were used.
Downloads
References
Angel Rajakumari, G, Sheela, R, Soli TK. (2015): The effectiveness of selected nursing measures on labor outcome among primigravid mothers. Journal of Science; 5(8): 716-719.
Aziato, L., Acheampong, A., & Umoar, K. (2017): Labour pain experiences and perceptions: a qualitative study among post-partum women in Ghana. BMC Pregnancy and Childbirth, 17(1), 1-9.
CATLING. (2016): Care during the decision-making phase for women who want a vaginal breech birth: Experiences from the field. Midwifery, 34: 111-116.
Chaillet, N, Belaid, L, Crochetière, C. (2014): Non-pharmacologic approaches for pain management during labor compared with usual care: A meta-analysis. Birth; 41: 122-37. PMid:24761801 https: //doi.org/10.1111/birt.12103
Emam, A., & Al-Zahrani, A. (2018): Upright versus recumbent position during the first stage of labor among primipara women on labor outcomes. Journal of Nursing Education and Practice,8. PRABHAKAR, Deepthy; GEORGE, Linu Sara; KARKADA, Sushmitha. (2015): Effectiveness of ambulation during the first stage of labor, on the outcome of labor among primigravid women in selected hospitals of Palakkad District, Kerala. International Journal of Nursing Education,7.1:1-6.
Freyd, M. (1923): The graphic rating scale. Journal of Educational Psychology; 14: 83-102. https://doi.org/10.1037/h0074329.
Gabbe, SG, Niebyl, JR, Simpson, JL. (2014): Normal and Problem Pregnancies (5th ed.). New York, NY: Churchill Livingstone.
Gaffka, K. (2016): The Effect of Alternative Labor Positions Versus the Lithotomy Position on Birthing Outcomes: An Integrative Literature Review.
General Authority for Statistics. (2016): Demography Survey 2016. Retrieved from http://www.stats.gov.sa/sites/default/files/ar- demographic-research-2016_0.pdf
GIZZO, A & Salvatore, F. (2014): Women’s choice of positions during labor: return to the past or a modern way to give birth? A cohort study in Italy. BioMed Research International, 2014
Gizzo, S, Gangi SD, Noventa M. (2014): Women’s Choice of Positions during Labor: Return to the Past or a Modern Way to Give Birth? A Cohort Study in Italy.
Hassan, NZ. (2016): Effect of pelvic rocking exercise using sitting position on the birth ball during the first stage of labor on its progress. IOSR Journal of Nursing and Health Science (IOSR-JNHS); 5(4): 19-27.
Kibuka, M., & Thornton, J. (2017): Position in the second stage of labor for women with epidural anaesthesia. Cochrane Database of Systematic Reviews, (2).
Kumud, AK, Chopra, S. (2013): Effect of upright positions on the duration of the first stage of labor among nulliparous mothers. Nursing and Midwifery Research Journal.
LAWRENCE &Annemarie. (2013): Maternal positions and mobility during first stage labor. Cochrane database of systematic reviews, 2013, 8.
Lawrence, A, Lewis, L, Hofmeyr, GJ. (2011): Maternal positions and mobility during first stage labor. Cochrane Database of Systematic Reviews; 15(2).
Lawrence, A, Lewis, L, Hofmeyr, GJ. (2013): Maternal positions and mobility during first stage labor. Cochrane Database Syst Rev; 10: 1-10.
Maddirevula, S., Alsahli, S., Alhabeeb, L., Patel, N., Alzahrani, F., Shamseldin, H. Alkuraya, F. (2018): Expanding the phenome and various of skeletal dysplasia. Genetics in Medicine. https://doi.org/10.1038/gim.2018.50
Maputle, M. (2018): Support provided by midwives to women during labor in a public hospital, Limpopo Province, South Africa: a participant observation study. BMC pregnancy and childbirth, 18(1), 1-11.
Pitts, D., Treadwell, M., & O’Brien, L. (2021): Fetal heart rate decelerations in women with sleep-disordered breathing. Reproductive Sciences, 28(9), 2602-2609.
Priddis, H, Dahlen, H, Schmied, V. (2011): What are the facilitators, inhibitors, and implications of birth positioning? A review of the literature. Women and Birth. 2012. PMid:21664208 https://doi.org/10.1 016/j.wombi.05.001
Salameh, K., Paraparambil, V., Sarfrazul, A., Hussain, H., Thyvilayil, S., & Mahmoud, A. (2020): Effects of labor epidural analgesia on short-term neonatal morbidity. International Journal of Women's Health, 12, 59.
Storton, S. (2013): The coalition for improving maternity services: Evidence basis of mother-friendly care. Step 4: Provide the birthing woman with freedom of movement to walk, move, and assume positions of her choice. The Journal of Prenatal Education; 16(Supp. 1): 25S-27S. PMid:18523670 https://doi.org/10.1624/1058 12407X173164
Virginia. Apgar score. (1953): A proposal for a new method of evaluation of the newborn infant". Current Research in Anesthesia & Analgesia.
World Health Organization. (1994): partograph in management of labor. Lancet; 343: 1399-1404. PMid:7910888
World Health Organization. (2015): Reproductive Health Library (RHL) Maternal positions and mobility during the first stage of labor. Geneva.
World Health Organization. (2017): Nurses and midwives: a vital resource for health. Copenhagen: World Health Organization.
World Health Organization. (2020): Global strategic directions for nursing and midwifery 2021-2025.
ZAKY, H. (2016): Effect of pelvic rocking exercise using sitting position on the birth ball during the first stage of labor on its progress. IOSR Journal of Nursing, 2016.DiFranco & Curl, 2014; Gizzo et al., 2014
Zhang, H.-Y., Shu, R., Zhao, N.-N., Lu, Y.-J., Chen, M., Li, Y.-X., Cai, W.-Z. (2016): Comparing maternal and neonatal outcomes between hands-and-knees delivery position and supine position. International Journal of Nursing Sciences, 3, 178–184. https://doi.org/10.1016/j.ijnss.2016.05.001
Published
How to Cite
Issue
Section
Copyright (c) 2021 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
