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

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• 作者：David Desseauve^a ; ^b ; ^{david.desseauve@univ-poitiers.fr} ; Laetitia Fradet^b ; Patrick Lacouture^b ; Fabrice Pierre^a
• 关键词：Delivery ; Position ; Maternal ; Labour ; Biomechanics ; Outcomes
• 刊名：European Journal of Obstetrics & Gynecology and Reproductive Biology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：208
• 期：Complete
• 页码：46-54
• 全文大小：1205 K
• 卷排序：208

文摘

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.