Position of Women During Second Stage of Labour and Maternal, Neonatal Outcome

الملخص

The second stage of labour was defined as a stage of fetal expulsion and begins when the cervical dilatation is complete
and ends with fetal delivery, it is duration about 50min for nulliparous and about 20min for multiparas, but it can be
highly variable. The objective of this study was to determine the effect of different positions of pregnant women in
second stage of labour on duration of second stage and the maternal and the neonatal complications. The study was
randomized controlled trial, conducted in Tripoli Medical Center during 2012. The study includes 440 pregnant ladies
in labour with no antenatal or obstetric complications, they divided into two groups, each group deliver their babies in
certain position (supine, upright), and the duration as well as complication of the second stage were determined for
both groups.
The mean duration of second stage for the group who are in supine position was 22.64 while the mean duration for other
group who are in upright position was 17.32, which was statistically significant by using T-student test (P=0.001) while
the effect of different positions of second stage on complication of labour like first or second or third degree perineal tear
was not significant, (P>0.05). Also perinatal outcome shows no significant difference between the two groups.
In conclusion the different positions of second stage of labour do not decrease the complication of second stage or
improve perinatal outcome but only show decrease in duration of second stage.