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- Title
Analysis of Maternal Positions during the Dilation and Expulsive Phase and Their Relationship with Perineal Injuries in Eutocic Deliveries Attended by Midwives.
- Authors
Martín-Vázquez, Cristian; Goás-Gómez, Noelia; Calvo-Ayuso, Natalia; Rosón-Matilla, Laura; Quiroga-Sánchez, Enedina; García-Fernández, Rubén
- Abstract
This cross-sectional descriptive study aimed to analyze the relationship between maternal positions during the expulsion phase and perineal outcomes in 367 eutocic births attended by midwives or midwifery residents at a public hospital in northern Spain in 2018. A total of 94.3% of women opted for horizontal positions. Limited sacral retroversion was observed in 71.7%, potentially influencing perineal outcomes. A low incidence of tears indicated effective management during the expulsive phase, with an episiotomy rate of 15.3%, which was slightly above the 15% standard. Primiparity and maternal age were identified as risk factors associated with episiotomy. Additionally, sacral mobilization and vertical positions during delivery were significantly related to fewer perineal injuries, suggesting benefits for both mother and newborn. The correlation between maternal positions and the need for epidural analgesia highlighted the importance of considering these in pain management during childbirth. Despite limitations, the study provides valuable insight into obstetric practices and advocates for a woman-centered approach that respects autonomy during childbirth. Further research is needed to explore biomechanical parameters and enhance childbirth experiences.
- Subjects
SPAIN; MOTHERS; EPISIOTOMY; EPIDURAL analgesia; CHILDBIRTH; HOSPITAL medical staff; PATIENT autonomy; SCIENTIFIC observation; BODY weight; DILATATION &; curettage; CROSS-sectional method; RESEARCH methodology; HEALTH outcome assessment; PATIENT-centered care; GESTATIONAL age; FETAL development; RISK assessment; PUBLIC hospitals; PARITY (Obstetrics); MATERNAL age; DESCRIPTIVE statistics; MEDICAL records; POSTURE; QUESTIONNAIRES; SACRUM; DELIVERY (Obstetrics); LABOR (Obstetrics); WOUNDS &; injuries; APGAR score; STATISTICAL sampling; DATA analysis software; PATIENT positioning; PERINEUM; PAIN management
- Publication
Healthcare (2227-9032), 2024, Vol 12, Issue 4, p441
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare12040441