Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Effect of Postpartum Outcomes in Mother's Upright Position During the Second Stage of Labor: Systematic Review

분만 2기 산모의 직립자세가 분만결과에 미치는 효과: 체계적 문헌고찰

  • 박성희 (한중대학교 간호학과) ;
  • 황정해 (한양사이버대학교 보건행정학과) ;
  • 최윤경 (한국방송통신대학교 간호학과) ;
  • 강창범 (한국건강증진재단 연구개발팀)
  • Received : 2012.07.31
  • Accepted : 2012.09.15
  • Published : 2012.09.20
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Abstract

Purpose: The purpose of this study was to determine whether upright position is effective in labor through systematic review in randomized controlled trials. Methods: We established the PICO (Patient-Intervention-Comparator-Outcome) strategy, and reviewed 282 literatures from national and international electronic databases, and finally selected 9 references based on inclusion and exclusion criteria. We evaluated the quality of references and carried out a meta-analysis. Results: The maternal outcomes showed that the duration of their second-stage labor was 2.29 minutes shorter than that of the women in the recumbent position, and were less likely to have episiotomy. The other outcomes, including the mode of delivery, blood loss, hemoglobin level, use of oxytocin, use of analgesics, and perineal laceration, did not differ between the groups. The fetal heart rate abnormality occurred less than in the control group. The Apgar scores of the groups did not differ. Conclusion: There is evidence that an upright position in the second stage of labor reduces the duration of the second stage of labor, the incidence of episiotomy, and an abnormal fetal heart rate.

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References

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