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February 28-March 01, 2019 | Paris, France
Palliative Care, Obstetrics and Gynecology
Stroke and Clinical Trials
International Conference on
Joint Event on
International Conference on
&
Journal of Research and Reports in Gynecology and Obstetrics | Volume: 3
Positions and movement: Promotion of physiological labour and birth
Deborah Froiio
Università degli studi “Magna Graecia” Catanzaro, Italy
Objective:
Analysis of management of labour and birth: use
of alternative positions, duration of labour, use to episiotomy
and sutures, incidence of lacerations and hematoma, maternal
and fetal outcomes, use of therapeutic positions in obstructed
labour.
Method:
The sample consists in 100 women, from 16 to
45 years old, randomly recruited who have given birth at
the Pugliese-Ciaccio Hospital, in Catanzaro, Italy. In order to
improve the knowledge and skills in the labour management
and to compare the results with the data collected through
the interviews with women, an anonymous questionnaire was
administered to the 12 midwives of the hospital working in the
delivery suite.
Results:
From the data collected, 75%of women use alternative
positions during labour, following their instinct, the advices
from the antenatal classes or from the midwife who looks after
the labour. The positions used are varied and different, but
the litotomic one is always present (90% of cases), especially
in the second active stage, in fact less than 2% of women give
birth in a different position and even the use of episiotomy and
suture is very high (about 55%). Regarding the length of labour,
primips women who have used the alternative positions are
having a labour of about 1 hour shorter than those who have
not used them (on average 4 hours and 30 minutes versus 3
hours and 30 minutes). As for the multips, however, the labour
with the alternative positions is shorter by about 1 hour and 20
minutes (on average 2 hours and 20 versus 3 hours and 40). The
maternal and fetal outcome is positive.
Conclusions:
Healthcare professionals should promote the
use of alternative positions especially in the management
of dysfunctional labour. The midwife must, first of all, let
the woman understand that labour and childbirth are very
instinctive. This can sometimes be particularly difficult. Women,
however, do not need someone to teach themhow to give birth
to their child, rather than having confidence and awareness
in the knowledge of their body in order to make the event a
unique and unforgettable experience.
e:
deborah.froiio@gmail.comRes Rep Gynaecol Obstet, Volume 3
DOI: 10.4066/2591-7366-C1-003