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

Description of this bibliographical database (AFAR website)
Currently 3032 records
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https://afar.info/id=1127

Created on : 01 Apr 2005
Modified on : 28 Oct 2018

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Bibliographical entry (without author) :

Randomised trial comparing the upright and supine positions for the second stage of labour. Br J Obstet Gynaecol. 1997 May;104(5):567-71.

Author(s) :

de Jong PR, Johanson RB, Baxen P, Adrians VD, van der Westhuisen S, Jones PW.

Year of publication :

1997

URL(s) :

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

Résumé (français)  :

Essai clinique randomisé (RCT)à Cape Town en Afrique du Sud, dans une maternité tenue par des sages-femme [midwife base maternity unit].

Objectifs : évaluer les effets néonatals et sur la mère des positions verticales comparées aux positions allongées pendant l’accouchement.

Participants : 570 femmes à bas risque obstétrical qui accouchent [at the nursing home].

Résultats : l’étude montre que les femmes qui ont adopté une position verticale ont eu moins de douleurs, de traumatismes périnéaux et d’épisiotomies que celles qui ont accouché allongées.

Abstract (English)  :

OBJECTIVE: To assess the maternal and neonatal effects of upright compared with recumbent positions during delivery, in terms of defined outcome variables.

DESIGN: A randomised controlled trial.

SETTING: St Monica’s Nursing Home, a midwife based maternity unit in Cape Town, South Africa.
PARTICIPANTS: Five hundred and seventeen women of low obstetrical risk assigned to deliver at the nursing home.

RESULTS: The trial showed that women who adopted the upright posture for delivery experienced less pain. perineal trauma and fewer episiotomies than those who delivered in the supine position.

CONCLUSION: The data suggest that in women of low obstetrical risk, choice of posture during delivery may be encouraged.

Sumário (português)  :

Comments :

Argument (français) :

Le choix de la posture devrait être encouragé dans les accouchements à faible risque. Etude prise en compte dans la méta-analyse De Jonge 2004 (fiche AFAR 1122) dans celle de Vendittelli 1998 (Fiche AFAR 2042) et dans la revue Cochrane de Nikodem (2000)

Argument (English):

The data suggest that in women of low obstetrical risk, choice of posture during delivery may be encouraged.

Argumento (português):

A escolha da postura deve ser encorajada em partos de baixo risco. Estudo levado em conta na meta-análise De Jonge 2004 (AFAR 1122) no Vendittelli 1998 (AFAR 2042) e na revisão de Nikodem Cochrane (2000)

Keywords :

➡ evidence-based medicine/midwifery ; physiology ; position during labor ; perineal/vaginal tears ; pain ; episiotomy

Author of this record :

Cécile Loup — 01 Apr 2005
➡ latest update : Bernard Bel — 28 Oct 2018

Related records
#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
#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
Pinned by #1122   De Jonge A, Teunissen TA, Lagro-Janssen AL. (2004). Supine position compared to other positions during the second stage of labor: a meta-analytic review. J Psychosom Obstet Gynaecol. 2004 Mar;25(1):35-45. ➡ https://afar.info/id=1122
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 #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
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