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Database - Alliance francophone pour l'accouchement respecté (AFAR)

http://afar.info/id=1189
Created on : 26/04/2005
Modified on : 2/12/2007

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Author(s) :

Shannahan MD, Cottrell BH.

Bibliographical entry (without author) :

Effect of the birth chair on duration of second stage labor, fetal outcome, and maternal blood loss.
Nurs Res. 1985 Mar-Apr;34(2):89-92.

Year of publication :

1985

Résumé (français) :

Abstract (English):

The effect of delivering in a birth chair on duration of second stage labor, fetal outcome, and maternal blood loss was examined in a retrospective study. The sample consisted of 60 primiparous women, 37 to 41 weeks gestation with a normal pregnancy and labor, 30 delivering on a traditional delivery table and 30 delivering in a birth chair. Comparisons were made between groups for mean duration of second stage labor, mean Apgar scores at one and five minutes, and mean maternal hemoglobin and hematocrit values during the pre- and post-partum periods. No significant difference was found between delivery table and birth chair groups for mean duration of second stage labor (birth chair, X = 60 minutes versus delivery table, X = 43 minutes, t = 1.66, p = .10). Mean Apgar scores at one and five minutes were nearly identical. Statistically significant differences existed between groups in mean maternal hemoglobin and hematocrit values. Both the mean hemoglobin and the mean hematocrit upon admission were significantly higher in the birth chair group (p less than .027). However, postpartally the birth chair group had significantly lower mean hemoglobin and hematocrit values (p less than .025). These findings suggest that the birth chair, as an alternate delivery method, is safe in terms of fetal outcome but presents no advantage to the mother in terms of shorter second stage labor. Further investigation of maternal blood loss is recommended to rule out possible untoward effects.

Sumário (português):

URL :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=3871937

Comments :

Argument (français) :

Etude rétrospective de très faible valeur statistique.

Argument (English):

Argumento (português):

Keywords :

alternative birth (waterbirth,...) ; fetal distress ; postpartum hemorrhage ; evidence-based medicine/midwifery ; position during labor ; physiology

Author of this record :

Cécile_Loup — 26/04/2005


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