التفاصيل البيبلوغرافية
| العنوان: |
Is maternal posturing during labor efficient in preventing persistent occiput posterior position? A randomized controlled trial. |
| المؤلفون: |
Desbriere, Raoul, Blanc, Julie, Le Dû, Renaud, Renner, Jean-Paul, Carcopino, Xavier, Loundou, Anderson, d'Ercole, Claude |
| المصدر: |
American Journal of Obstetrics & Gynecology; Jan2013, Vol. 208 Issue 1, p60.e1-60.e8, 0p |
| مصطلحات موضوعية: |
LABOR (Obstetrics), POSTURE, HEALTH outcome assessment, RANDOMIZED controlled trials, CESAREAN section, DELIVERY (Obstetrics), MULTIVARIATE analysis |
| مستخلص: |
Objective: We sought to evaluate the efficacy of maternal posturing during labor on the prevention of persistent occiput posterior (OP) position. Study Design: We conducted a randomized trial including 220 patients in labor with a single fetus in documented OP position. Main outcome was the proportion of anterior rotation from OP position. Results: The rates of anterior rotation were, respectively, 78.2% and 76.4% in the intervention group and the control group without significant difference (P = .748). Rates of instrumental and cesarean section deliveries were not significantly different between intervention and control groups (18.2% vs 19.1%, P = .89, and 19.1% vs 17.3%, P = .73, respectively). In intervention and control groups, persistent OP position rates were significantly higher among women who had cesarean section (71.4% and 89.5%, respectively) and an instrumental delivery (25% and 33.3%, respectively) than among women who achieved spontaneous vaginal birth (5.8% and 2.8%, respectively). In multivariable analysis, body mass index and parity were found to have significant and independent impact on the probability of fetal head rotation. Conclusion: Our study failed to demonstrate any maternal or neonatal benefit to a policy of maternal posturing for the management of OP position during labor. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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