Effect of Upright Versus Recumbent Positions During on Feto-maternal Outcomes During the Active Phase of Labor Among Primiparae

Abstract

Background: Childbirth is a normal physiological event. It holds profound significance for women emotionally and physically. The current study aimed to determine the effect of upright versus recumbent positions on feto-maternal outcomes during active phase of labor among primiparae. Methodology: a quasi-experimental research design was used at the labor unit of El-Shatby Maternity Hospital located in Alexandria, Egypt. A convenience sample of 80 primiparous women in the first stage of labor was categorized into upright and recumbent groups. Data was collected through the utilization of a Basic Structured Interview Schedule, Partograph tool, a Pain Intensity visual analog scale, cardiotocography and a maternal satisfaction questionnaire regarding the labor position. Results: there were notable statistical differences between the upright and recumbent groups, with a preference towards the upright group. These differences were observed following variations in positioning in relation to fetal heartrate, fetal head descent, cervical dilatation, effacement, frequency and duration of contractions, intervals, the magnitude of uterine contractions and length of labor, Furthermore, the upright group showed a higher satisfaction score than recumbent group (p <0.001*) Conclusion: The study's findings highlight the positive impact of upright positions on the feto-maternal outcomes. This positive impact was achieved in terms of enhancing cervical dilatation, fetal had descent, uterine contractions, shortening the length of labor and increasing maternal satisfaction with childbirth. Recommendations: Raise pregnant women's awareness of assuming upright positions during active phase of labor, by offering antenatal education classes in the third trimester.