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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=1158

Created on : 20 Apr 2005
Modified on : 21 Nov 2018

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Bibliographical entry (without author) :

A randomised trial to evaluate the use of a birth chair for delivery. Lancet. 1983 Jun 11;1(8337):1296-8.

Author(s) :

Stewart P, Hillan E, Calder AA.

Year of publication :

1983

URL(s) :

https://www.thelancet.com/journals/lancet/article/…
https://doi.org/10.1016/S0140-6736(83)92412-1

Résumé (français)  :

Une étude randomisée de 189 accouchements a été menée pour comparer les performances dans la position dorsale conventionnelle à celles dans une chaise de naissance. Il n’y avait pas de différence significative dans la durée du deuxième stade du travail, le temps passé à l’expulsion ou le besoin d’accouchement instrumental. La perte de sang globale était plus importante chez les patientes accouchant sur la chaise, mais un plus grand nombre de ce groupe présentait un périnée intact ou ne présentait que des lésions superficielles. La condition des nouveau-nés dans les deux groupes d’accouchement était similaire.

Abstract (English)  :

A randomised study of 189 deliveries was conducted to compare performance in the conventional dorsal position with that in a birth chair. There was no significant difference in the length of the second stage of labour, the time spent bearing down, or the need for operative delivery. Overall blood-loss was greater among patients delivered in the chair but more of this group had either an intact perineum or only superficial damage. The condition of the neonates in the two delivery groups was similar.

Sumário (português)  :

Um estudo randomizado de 189 partos foi realizado para comparar o desempenho na posição dorsal convencional com aqueles em uma cadeira de parto. Não houve diferença significativa na duração do segundo estágio do trabalho de parto, o tempo gasto na expulsão ou a necessidade de parto instrumental. A perda total de sangue foi maior nos pacientes que receberam a cadeira, mas mais desse grupo tinha períneo intacto ou apenas lesões superficiais. A condição dos recém-nascidos em ambos os grupos de parto foi semelhante.

Comments :

Etude prise en compte dans la revue systématique Cochrane Gupta 2004 (fiche AFAR 1099), dans la méta-analyse De Jonge 2004 (fiche AFAR 1122), dans la revue Cochrane de Nikodem (2000) et dans celle de Vendittelli 1998 (Fiche AFAR 2042)

Argument (français) :

Position lithotomique vs chaise d’accouchement : plus de perte de sang avec la chaise, mais meilleur état du périnée. Pas d’autres différences (durées, extractions instrumentales, état néonatal identiques).

Argument (English):

Lithotomic position vs delivery chair: no more blood loss with the chair, but better condition of the perineum. No other differences (durations, instrumental extractions, identical neonatal state).

Argumento (português):

Posição litotômica vs cadeira de parto: não há mais perda de sangue com a cadeira, mas melhor condição do períneo. Nenhuma outra diferença (durações, extrações instrumentais, estado neonatal idêntico).

Keywords :

➡ alternative birth ; evidence-based medicine/midwifery ; physiology ; position during labor ; perineal/vaginal tears ; postpartum hemorrhage ; episiotomy ; instrumental delivery

Author of this record :

Cécile Loup — 20 Apr 2005
➡ latest update : Bernard Bel — 21 Nov 2018

Related records
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 #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 #1127   de Jong PR, Johanson RB, Baxen P, Adrians VD, van der Westhuisen S, Jones PW. (1997). Randomised trial comparing the upright and supine positions for the second stage of labour. Br J Obstet Gynaecol. 1997 May;104(5):567-71. ➡ https://afar.info/id=1127
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 #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
Pinned by #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
Pinned by #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
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 #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
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 #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
Pinned by #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
Pinned by #1193   Stewart P, Spiby H. (1989). 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. ➡ https://afar.info/id=1193
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
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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affiliated with Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
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