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

Description of this bibliographical database (AFAR website)
Currently 3033 records
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Created on : 27 Apr 2005
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Use of McRoberts’ position during delivery and increase in pushing efficiency. Lancet. 2001 Aug 11;358(9280):470-1.

Author(s) :

Buhimschi CS, Buhimschi IA, Malinow A, Weiner CP.

Year of publication :


URL(s) :

Résumé (français)  :

Abstract (English)  :

McRoberts’ position is used during the second stage of labour to facilitate delivery of the fetal shoulders. Few clinical studies have been done to measure its efficacy. We measured intrauterine pressure in 22 women in term labour, after the vertex reached 3+ station, in the dorsal lithotomy position. Patients pushed with legs either in stirrups or hyperflexed by 1358 (McRoberts’ position). Maternal valsalva transiently increased the expulsive force by 32% over naturally occurring contractions. Use of McRoberts’ position almost doubled the intrauterine pressure developed by contractions alone (from 1653 mm Hg s to 3262 mm Hg s [97%]).

Sumário (português)  :

Comments :

Les mêmes auteurs se font les avocats de l’expression abdominale "calibrée".

Argument (français) :

Une position acrobatique : les genoux jusqu’aux oreilles, allongée sur le dos pour presque doubler l’efficacité des contractions.

Argument (English):

Argumento (português):

Keywords :

➡ position during labor ; physiology ; duration of labour ; ethics ; deontology ; informed consent ; active management of labor

Author of this record :

Cécile Loup — 27 Apr 2005
➡ latest update : Bernard Bel — 02 Dec 2007

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