| Titre : | Upright birthing positions and maternal outcomes: a literature review (2025) |
| Auteurs : | Tara McCarthy |
| Type de document : | Article : texte imprimé |
| Dans : | Midirs. Midwifery Digest (Vol. 35, n° 1, mars 2025) |
| Article en page(s) : | p. 73-79 |
| Langues: | Anglais |
| Sujets : |
Paramédical (MeSH) Accouchement naturel ; Appréciation des risques ; Position debout ; Pratique factuelle ; Sage-femme ; Satisfaction des patients ; Travail obstétrical |
| Résumé : |
Background: Recent trends show a decrease in spontaneous vaginal births (SVBs) and an increase in assisted vaginal and caesarean births. Upright birth positions have been linked to several physiological benefits, including better fetal descent and reduced intervention rates. However, despite World Health Organization (WHO) recommendations, adoption in hospital settings remains low.
Aims and objectives: This review synthesises current evidence on the outcomes of SVBs in upright positions, with a focus on midwives' roles in supporting women during the second stage of labour. Methods: A literature search was conducted using the databases PubMed, EBSCOHost, CINAHL, the Maternity and Infant Care (MIC) database, and the Cochrane Library. Studies were critically appraised using the Critical Appraisal Skills Programme (CASP) tool (CASP 2018). Findings were thematically categorised into physiological impact, perineal injuries, second-stage duration and maternal experience. Findings: Upright positions were associated with larger pelvic outlet dimensions, shorter second stages and fewer assisted vaginal births, though some studies reported increased risks of perineal tears and postpartum haemorrhage. The role of health care professionals in empowering women to choose upright positions significantly impacted maternal satisfaction. Conclusion: Upright birth positions show potential in improving maternal outcomes, including increased rates of SVBs, shorter labour and fewer interventions. However, inconsistencies in evidence, particularly regarding perineal trauma and blood loss, warrant further high-quality research. Future studies should address these gaps and inform clinical practice to support midwives in implementing evidence-based, person-centred care. |
Exemplaires (1)
| Localisation | Section | Support | Cote de rangement | Statut | Disponibilité |
|---|---|---|---|---|---|
| Bibliothèque Paramédicale | Périodiques | Périodique | Midirs. 2025-1 | Empruntable | Disponible |
