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Database - Alliance francophone pour l'accouchement respecté (AFAR)
Created on : 27/04/2005
Modified on : 2/12/2007

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Author(s) :

Buhimschi CS, Buhimschi IA, Malinow A, Weiner CP.

Bibliographical entry (without author) :

Use of McRoberts' position during delivery and increase in pushing efficiency.
Lancet. 2001 Aug 11;358(9280):470-1.

Year of publication :


Résumé (français) :

Abstract (English):

McRoberts' position is used during the second stage of labour to facilitate delivery of the fetal shoulders. Few clinical studies have been done to measure its efficacy. We measured intrauterine pressure in 22 women in term labour, after the vertex reached 3+ station, in the dorsal lithotomy position. Patients pushed with legs either in stirrups or hyperflexed by 1358 (McRoberts' position). Maternal valsalva transiently increased the expulsive force by 32% over naturally occurring contractions. Use of McRoberts' position almost doubled the intrauterine pressure developed by contractions alone (from 1653 mm Hg s to 3262 mm Hg s [97%]).

Sumário (português):

Comments :

Les mêmes auteurs se font les avocats de l'expression abdominale "calibrée".

Argument (français) :

Une position acrobatique : les genoux jusqu'aux oreilles, allongée sur le dos pour presque doubler l'efficacité des contractions.

Argument (English):

Argumento (português):

Keywords :

deontology ; active management of labor ; position during labor ; physiology ; duration of labour ; ethics

Author of this record :

Cécile_Loup — 27/04/2005

DateDiscussion (only in English)Author
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