Effects of different postures and movement during labor on the delivery outcome

ObjectiveTo evaluate the clinical effects and safety of autonomic position and movement delivery in puerpera.

MethodsOne hundred and ninety-two parturient women planned by vaginal delivery were divided into the observation group and control group.The observation group was treated with autonomic position and movement delivery midwifery, and the control group was treated with traditional supine or lateral position.The labor course and neonatal condition were compared between two groups.

ResultsThe cesarean section and perineal incision rates in observation group were significantly lower than those in control group (P < 0.05), the vaginal delivery rate in observation group was higher than that in control group (P < 0.01), and the difference of the rate of vaginal midwifery between two groups was not statistically significant (P>0.05).The first, second and total labor time in observation group were significantly shorter than those in control group (P < 0.01).The VAS score of labor pain, postpartum 2 h blood loss and Apgar score of newborn in observation group were significantly less than those in control group (P < 0.01).

ConclusionsThe autonomic position and movement delivery can transfer the maternal attention, relieve emotion, reduce labor pain, shorten labor and improve the success rate of vaginal delivery.