There are several physiological advantages for being upright during labour. These include the effect of gravity on the fetus within the uterus; reduced risk of aorto-caval compression this maximizes uterine blood flow to the placenta and fetus during labour and more efficient contractions which lead to shorter first and second stage of labor. In addition, being upright during labour provide better alignment of the fetus; and increased pelvic outlet when the woman is in squatting and kneeling positions
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
100
The study group assumed one of upright positions during first stage of labor, defined as walking , sitting, standing, kneeling \& squatting positions )
Faculty of nursing Cairo university
Cairo, Egypt
Intensity of labor pain assessed by Visual analogue pain intensity scale
Assessment of labor pain assessed by VAS (Visual analogue pain intensity scale ).It is a self-reported 10 cm horizontal line which represented the subjective estimation of pain intensity. It comprised 0-10-point numerical scale, No pain (0), Mild pain (\< 4), Moderate pain (4-6), Sever pain (7-10).
Time frame: during the procedure
duration of first stage of labor
upright position may decrease the duration of first stage of labor
Time frame: during the procedure
duration of second stage of labor
upright position may decrease the duration of second stage of labor
Time frame: immediately after intervention
fetal outcome
fetal well being through fetal heart rate assessment assessed by CTG (cardio toco graph ) machine
Time frame: during the procedure
Neonatal outcome
neonatal condition after delivery assessed by a standardized APGAR score tool by allocating scores to five simple criteria Activity (Muscle tone), Pulse (Heart rate), Grimace (reflex irritability) Appearance (Skin color) \& Respiratory effort (breathing). A total score (0-3) revealed sever neonatal distress, (4-7) indicated moderate distress \& (8-10) indicated absence of difficulty in adjusting to extra uterine live.
Time frame: immediately after intervention
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