Abstract: Objective: To compare mother and foetal outcomes in various delivery positions, as well as the duration of the second stage of labour.
Materials and Methods: A total of 75 primigravidae with vertex presentation and no co-morbidities were grouped into supine 25 (Group 1), lateral 25 (Group 2) and all fours 25 birthing positions (Group 3). The maternal and fetal outcomes were studied.
Study Design: Randomized Parallel Group Trial.
Results: The mean duration of second stage of labour was decreased in lateral position (32.08 minutes) relative risk of 6 (95% CI,2.52 to 14.24, P value of < 0.01). Pain intensity was assessed with Visual analogue scale the intensity of pain was less in all fours position RR 5.44 (95% CI 0.67 - 43.79, P value of < 0.01). The preference for the same position for the next delivery was greater with the Supine position, RR 6.09 (95% CI 1.75 - 21.18, P value of < 0.01). There was no significant difference in overall fetal outcome in three positions. The transient tachypnoea of the newborn was more in the supine position with (P Value 0.04) was statistically significant.
Conclusion: Upright and lateral birthing positions during the second stage of labour may be more beneficial for promoting good maternal outcomes than supine position.
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