RT info:eu-repo/semantics/article
T1 Analysis of Maternal Positions during the Dilation and Expulsive Phase and Their Relationship with Perineal Injuries in Eutocic Deliveries Attended by Midwives
A1 Martín Vázquez, Cristian
A1 Goás Gómez, Noelia
A1 Calvo Ayuso, Natalia
A1 Rosón Matilla, Laura
A1 Quiroga Sánchez, Enedina
A1 García Fernández, Rubén
A2 Enfermeria
K1 Enfermería
K1 Second labor stage
K1 Parturition
K1 Episiotomy
K1 Midwife
AB [EN]This cross-sectional descriptive study aimed to analyze the relationship between maternal positions during the expulsion phase and perineal outcomes in 367 eutocic births attended by midwives or midwifery residents at a public hospital in northern Spain in 2018. A total of 94.3% of women opted for horizontal positions. Limited sacral retroversion was observed in 71.7%, potentially influencing perineal outcomes. A low incidence of tears indicated effective management during the expulsive phase, with an episiotomy rate of 15.3%, which was slightly above the 15% standard. Primiparity and maternal age were identified as risk factors associated with episiotomy. Additionally, sacral mobilization and vertical positions during delivery were significantly related to fewer perineal injuries, suggesting benefits for both mother and newborn. The correlation between maternal positions and the need for epidural analgesia highlighted the importance of considering these in pain management during childbirth. Despite limitations, the study provides valuable insight into obstetric practices and advocates for a woman-centered approach that respects autonomy during childbirth. Further research is needed to explore biomechanical parameters and enhance childbirth experiences.
PB MDPI
LK https://hdl.handle.net/10612/18704
UL https://hdl.handle.net/10612/18704
NO Cristian Martín-Vázquez, Noelia Goás-Gómez, Natalia Calvo-Ayuso, Laura Rosón-Matilla, Enedina Quiroga-Sánchez and Rubén García-Fernández (2024) Analysis of Maternal Positions during the Dilation and Expulsive Phase and Their Relationship with Perineal Injuries in Eutocic Deliveries Attended by Midwives. Healthcare 12,4 https://doi.org/10.3390/healthcare12040441
DS BULERIA. Repositorio Institucional de la Universidad de León
RD 09-jun-2024