Position for labor and birth: State of knowledge and biomechanical perspectives

被引：42
|
作者：
Desseauve, David [1 ,2 ]
Fradet, Laetitia [2 ]
Lacouture, Patrick [2 ]
Pierre, Fabrice [1 ]
机构：
[1] CHU Poitiers, Serv Gynecol Obstet & Med Reprod, Poitiers, France
[2] Univ Poitiers, Axe RoBioSS, Inst Pprime, UPR 3346,CNRS, Poitiers, France
来源：
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2017年 / 208卷
关键词：
Delivery; Position; Maternal; Labour; Biomechanics; Outcomes; ANAL-SPHINCTER TEARS; RANDOMIZED CONTROLLED-TRIAL; OCCIPUT POSTERIOR POSITION; UTERINE ACTIVITY; URINARY-TRACT; RISK-FACTORS; 2ND STAGE; WOMEN; 2ND-STAGE; DELIVERY;
D O I：
10.1016/j.ejogrb.2016.11.006
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
This review aims to examine how childbirth position during labour affects maternal, fetal and neonatal outcomes. Epidemiological data suggest that vertical birthing positions have many benefits. But when we consider the players and mechanisms of delivery, including the forces generated to move the fetus and obstacles to its progression, many questions remain about the advantage of one position over another. Thus, childbirth could be considered in a way as an athletic feat that probably requires the choice of optimal positions. These should be individually suited to each woman at different stage of labour to improve its efficiency and effectiveness. Tweetable abstract: Beyond epidemiological data, biomechanical investigations is necessary to assess birth's position. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：46 / 54
页数：9
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