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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
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https://afar.info/id=1193

Created on : 26 Apr 2005
Modified on : 23 Nov 2018

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Bibliographical entry (without author) :

A randomized study of the sitting position for delivery using a newly designed obstetric chair. Br J Obstet Gynaecol. 1989 Mar;96(3):327-33.

Author(s) :

Stewart P, Spiby H.

Year of publication :

1989

URL(s) :

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

Résumé (français)  :

Nouvelle chaise obstétricale conçue pour résoudre certains problèmes de celles actuellement commercialisées. La chaise a été utilisée pour évaluer les effets sur les résultats de l’accouchement lorsque le second stade du travail se fait en position assise. 304 femmes sont assignées au hasard à accoucher sur la chaise ou en position couchée sur le dos. L’accouchement avec la chaise n’a pas eu d’effets bénéfiques sur les mères ni sur les bébés et a eu pour conséquence une perte de sang moyenne plus élevée ainsi qu’un plus haut taux d’hémorragie.

Abstract (English)  :

A new obstetric chair has been designed to overcome some of the problems of those currently available commercially. The chair has been used to assess the effects of the sitting position in the second stage of labour on the outcome of delivery in 304 women randomly allocated to be delivered either in the chair or in the conventional dorsal position. Delivery in the chair conferred no benefits to mother or baby and resulted in greater mean blood loss and a higher rate of postpartum haemorrhage.

Sumário (português)  :

Comments :

Argument (français) :

Etude randomisée contrôlée comparant l’accouchement avec une chaise obstétricale à la position lithotomique (incluant le décubitus latéral). Aucun avantage n’est trouvé à l’utilisation de cette chaise avec laquelle on observe plus d’écoulements sanguins et d’hémorragies post-partum.

Argument (English):

Randomized controlled trial comparing delivery with an obstetric chair at the lithotomic position (including lateral decubitus). No advantage is found in the use of this chair with which there is more blood flow and postpartum haemorrhage.

Argumento (português):

Estudo controlado randomizado comparando o parto com uma cadeira obstétrica na posição litotômica (incluindo decúbito lateral). Nenhuma vantagem é encontrada no uso desta cadeira com a qual há mais fluxo sanguíneo e hemorragia pós-parto.

Keywords :

➡ alternative birth ; evidence-based medicine/midwifery ; physiology ; position during labor ; postpartum hemorrhage

Author of this record :

Cécile Loup — 26 Apr 2005
➡ latest update : Bernard Bel — 23 Nov 2018

Related records
#1181   McManus TJ, Calder AA. (1978). Upright posture and the efficiency of labour. Lancet. 1978 Jan 14;1(8055):72-4. ➡ https://afar.info/id=1181
#1162   Marttila M, Kajanoja P, Ylikorkala O. (1983). Maternal half-sitting position in the second stage of labor. J Perinat Med. 1983;11(6):286-9. ➡ https://afar.info/id=1162
Group ‘Discussion of birth chair
#1189   Shannahan MD, Cottrell BH. (1985). Effect of the birth chair on duration of second stage labor, fetal outcome, and maternal blood loss. Nurs Res. 1985 Mar-Apr;34(2):89-92. ➡ https://afar.info/id=1189
#1177   Liddell HS, Fisher PR. (1985). The birthing chair in the second stage of labour. Aust N Z J Obstet Gynaecol. 1985 Feb;25(1):65-8. ➡ https://afar.info/id=1177
#1175   Hemminki E, Virkkunen A, Makela A, et al. (1986). A trial of delivery in a birth chair. Journal of Obstetrics & Gynaecology 1986;6:162-5. ➡ https://afar.info/id=1175
#1163   Turner MJ, Romney ML, Webb JB, Gordon H. (1986). The Birthing Chair: an obstetric hazard? J Obstet Gynaecol Br Commonwealth 1986;6:232-5. ➡ https://afar.info/id=1163
#1158   Stewart P, Hillan E, Calder AA. (1983). A randomised trial to evaluate the use of a birth chair for delivery. Lancet. 1983 Jun 11;1(8337):1296-8. ➡ https://afar.info/id=1158
#1113   SZ Chen, K Aisaka, H Mori, and T Kigawa (1987). Effects of sitting position on uterine activity during labor Obstetrics & Gynecology 69:67-73 ➡ https://afar.info/id=1113
------ out of group ------
Pinned by #1099   Gupta JK, Hofmeyr GJ. (2004). Position for women during second stage of labour. Cochrane Database Syst Rev. 2004;(1):CD002006. ➡ https://afar.info/id=1099
Pinned by #1209   Radkey AL, Liston RM, Scott KE, Young C. (1991). Squatting: Preventive medicine in childbirth ? Proceedings of the annual meeting of the Society of Obstetricians and Gynaecologists of Canada 1991;Toronto, Ontario, Canada:76. ➡ https://afar.info/id=1209
Pinned by #2042   Vendittelli F. (1998). Position allongée ou verticale durant le 2e stade du travail : revue des méta-analyses. 28e Journées de la Société française de Médecine Périnatale, Arnette Ed., Paris, 1998, 167-176. ➡ https://afar.info/id=2042
Group ‘Discussion of birth chair
Pinned by #975   Crowley P, Elbourne D, Ashurst H, Garcia J, Murphy D, Duignan N. (1991). Delivery in an obstetric birth chair: a randomized controlled trial. Br-J-Obstet-Gynaecol. 1991 Jul; 98(7): 667-74 ➡ https://afar.info/id=975
Pinned by #1165   Waldenstrom U, Gottvall K. (1991). A randomized trial of birthing stool or conventional semirecumbent position for second-stage labor. Birth. 1991 Mar;18(1):5-10. ➡ https://afar.info/id=1165
Pinned by #1176   Kafka M, Riss P, von Trotsenburg M, Maly Z. (1994). Gebärhocker - ein geburtshilfliches Risiko? [The birthing stool--an obstetrical risk?] [Article in German]. Geburtshilfe Frauenheilkd. 1994 Sep;54(9):529-31. ➡ https://afar.info/id=1176
Pinned by #1317   Racinet, Claude (2005). Positions maternelles pour l’accouchement. Gynecol Obstet Fertil. 2005 Jul-Aug;33(7-8):533-8 ➡ https://afar.info/id=1317
Pinned by #3032   Li Thies-Lagergren (2013). The Swedish Birth Seat Trial. Thesis. Department of Women’s and Children’s Health, Karolinska Institute, Stockholm, Sweden. ➡ https://afar.info/id=3032
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