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العنوان
Comparing the Effect of Maternal Semi-Sitting and Dorsal Recumbent Versus Lithotomy Postions on the progress of the Second Stage of Labor and on Labor Outcome /
المؤلف
Mohamed, Safaa Soliman Ahmed.
هيئة الاعداد
باحث / صفاء سليمان أحمد محمد
مشرف / سناء علي نورالدين
مشرف / أمل محمد الشحات
مشرف / إيناس محمد عبدالله
الموضوع
Duration of pregnancy.
تاريخ النشر
2012.
عدد الصفحات
150 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الأمومة والقبالة
الناشر
تاريخ الإجازة
2/08/2012
مكان الإجازة
جامعة قناة السويس - كلية التمريض - تمريض الأمومة وأمراض النساء والتوليد
الفهرس
Only 14 pages are availabe for public view

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Abstract

Although various positions adopted during labor and delivery have been
studied over the past 40 years, controversy still surrounds the results regarding
obstetric variables. The aim of this study was to compare the effect of
maternal semi-sitting or dorsal recumbent versus lithotomy positions on
maternal and fetal conditions, as well as on the progress of the second stage of
labor. This comparative quasi-experimental study was done in the labor ward
of the General Hospital and the Health Insurance Hospital in Beni Suef
Governorate. Eighty parturient women were recruited in each of the three
labor positions: semi-sitting (SS), dorsal recumbent (DR), and lithotomy (Ll)
positions. Data were collected using a structured interview sheet, an
observation checklist, and a satisfaction sheet The study findings revealed that
the mean duration, t)’equency, and intensity of the uterine of the contractions
were highest in the SS group, and 10weSI in the 1,1 (p<O.OO I). The mean
duration of the second and third stages in the SS group were lower than those
in the DR and Ll groups, (P<O.OOI) Women in the SS group had significantly
lower rates of episiotomy, labial inj my, vaginal edema, perineal lacerations,
and postpartum hemorrhage (P=O.OOI) Their newborns had the highest Apgar
scores at the first and fifth minutes, and none of them had fetal complications
(P<().O() 1). Most (88.8%) women in thc SS group were satisfied with the
position, had less problems, preferred to assume this position in the next labor,
and will recommend the position to others (p<O.OO 1). It is recommended that
the utilization of the semi-sitting labor position must be encouraged, with
randomized clinical trial to provide fi..lrther contlrmatiO]l of the study findings