For centuries, there has been controversy around whether being upright (sitting, birthing stools, chairs, squatting) or lying down have advantages for women delivering their babies. To assess the benefits and risks of the use of different positions during the second stage of labour (i.e. from full dilatation of the cervix).
Aim of the study: To study the effect of various postures during the second stage of labour. To compare the duration of the second stage of labour, maternal and fetal outcome in different postures.
Materials and Methods: 400 women in labour are studied as to the labour pattern and delivery in different postures. All subjects are matched according to age and parity.
Study Design: Prospective Study.
Results and Conclusion: Women in squatting position and sitting position had number so intact perineum and no one had episiotomy especially multigravida. Pain perception using the visual analog scale was found to be more in supine, knee elbow position. Overall satisfaction was found better in squatting position than sitting, knee-elbow position in decreasing order. Age group preferred equally position between 26 – 30 years. Multigravida patients preferred squatting posture than any other postures, due to their previous birth experience in the supine position. Primigravida patients preferred the supine position mostly. Blood loss in each posture compared by using under buttock drape. No one presented with postpartum haemorrhage. More comfortable posture during the second stage of labour can be chosen by a mothers by using this study. Because the preference of birthing posture is a basic right of the patient. Duration of the second stage of labour is reduced in squatting and sitting position.