Effect of upright and ambulant positions versus lying down during the active first stage of labor on birth outcomes among nulliparous women: randomized controlled clinical trial

Characteristic	Study group (n = 75)		Control group (n = 75)		Significant test	P-value
Mode of delivery (cesarean birth rates)
Spontaneous vaginal delivery	63	84.0	59	78.7	0.703^a	0.402
Lower segment cesarean section (LSCS)	12	16.0	16	21.3

Use of oxytocin augmentation
No	19	25.3	13	17.3	1.430^a	0.232
Yes	56	74.7	62	82.7
Duration of labor stages
First stage (h)	11.88 ± 2.50		12.74 ± 1.86		2.387^b	0.018^*
Second stage (min)	62.40 ± 8.08		65.47 ± 12.65		1.727^b	0.086
Third stage (min)	11.53 ± 2.32		11.77 ± 3.61		0.478^b	0.633

Demographic characteristics, BMI, and weeks of gestation of parturient women in the two groups (n = 150).

Items	Study group		Control group		Significant test	P-value

	n = 75	%	n = 75	%
Age (years)
≤20	8	10.7	6	8.0
21–34	60	80.0	67	89.3	3.347^b	0.164
≥35	7	9.3	2	2.7
Education
Read and write	17	22.7	8	10.7	4.684^a	0.096
Secondary	44	58.7	46	61.3
University	14	18.7	21	28.0
Working status
Working	18	24.0	21	28.0	0.312^a	0.577
House wife	57	76.0	54	72.0
Residence
Rural	60	80.0	54	72.0	1.316a	0.251
Urban	15	20.0	21	28.0
BMI (M ± SD)	25.62 ± 2.59		26.38 ± 2.30		0.448^c	0.655
Gestational weeks (M ± SD)	38.37 ± 0.67		38.68 ± 0.98		0.097^c	0.923

Neonates’ outcome between the two groups (M ± SD).

Characteristic	Study group (n = 75)	Control group (n = 75)	t	P-value
Baby birth weight (kg)	2.96 ± 0.34	2.92 ± 0.28	0.773	0.441
Baby head circumference (cm)	33.54 ± 1.45	33.52 ± 1.48	0.108	0.914
Apgar's score at 1 min	6.92 ± 1.36	7.20 ± 1.20	0.912	0.363
Apgar's score at 5 min	8.98 ± 1.19	9.28 ± 1.51	1.189	0.236

Labor progress of parturients in the two groups (M± SD).

Group	Baseline	At first hour	At second hour	At third hour	At forth hour	At fifth hour	At sixth hour	At seventh hour	F for time	F for group
1-Duration of uterine contractions (s)
Study (n = 75)	25.40 ± 5.15	31.80 ± 3.99	35.80 ± 3.45	41.60 ± 2.81	45.80 ± 7.49	52.20 ± 5.77	59.40 ± 5.07	64.60 ± 4.95	27.872	1.686
Control (n = 75)	24.60 ± 5.49	30.20 ± 5.77	34.40 ± 3.02	39.00 ± 6.14	45.60 ± 3.69	51.40 ± 5.89	53.80 ± 3.99	62.40 ± 5.64
t (P-value)	0. 919 (0.360)	1.972 (0.051)	2.641 (0.009)	3.333 (0.001)^**	0.218 (0.827)	0.840 (0.403)	7.505 (0.001)^**	2.536 (0.012)^*	0.000^**	0.196

2-Interval of uterine contractions (min)
Study (n = 75)	4.70 ± 0.75	4.01 ± 0.71	3.71 ± 0.51	3.40 ± 0.37	3.02 ± 0.31	2.90 ± 0.20	2.50 ± 0.31	2.03 ± 0.55	18.506	27.160
Control (n = 75)	4.82 ± 0.60	4.42 ± 0.58	4.32 ± 0.59	3.91 ± 0.48	3.31 ± 0.42	3.02 ± 0.41	2.96 ± 0.37	2.10 ± 0.49
t (P-value)	1.074 (0.285)	3.957 (0.000)^**	7.413 (0.000)^**	7.268 (0.000)^**	5.061 (0.000)^**	2.363 (0.019)^*	7.171 (0.000)^**	1.148 (0.253)	0.000^**	0.000^**

3-frequency of uterine contractions/10 min
Study (n = 75)	2.40 ± 0.43	2.60 ± 0.42	2.80 ± 0.40	2.82 ± 0.42	2.85 ± 0.46	3.00 ± 0.63	3.40 ± 0.49	4.20 ± 0.75	2.085	8.667
Control (n = 75)	2.37 ± 0.0.48	2.40 ± 0.49	2.58 ± 0.47	2.60 ± 0.57	2.63 ± 0.61	2.94 ± 0.65	3.17 ± 0.41	3.93 ± 0.68
t (P-value)	0.333 (0.739)	2.483 (0.014)^*	2.893 (0.004)^*	3.065 (0.003)^*	3.058 (0.003)^*	0.490 (0.614)	3.054 (0.003)^*	2.269 (0.025)^*	0.043^*	0.004^*

4-Cervical dilatation (cm)
Study (n = 75)	3.40 ± 0.54	3.20 ± 0.40	4.12 ± 0.51	5.94 ± 0.67	6.81 ± 0.74	7.85 ± 0.84	8.94 ± 0.84	9.95 ± 0.21	12.480	0.146
Control (n = 75)	3.45 ± 0.50	3.17 ± 0.38	4.01 ± 0.58	5.62 ± 0.95	6.62 ± 0.95	7.62 ± 0.94	8.62 ± 0.95	9.78 ± 0.47
t (P-value)	0.657 (0.512)	0.417 (0.678)	1.186 (0.238)	2.368 (0.019)^*	1.332 (0.185)	1.536 (0.127)	2.164 (0.032)^*	2.467 (0.015)^*	0.001^**	0.033^*

5-Fetal head descent/fifth
Study (n = 75)	2.97 ± 0.67	2.41 ± 0.50	2.00 ± 0.63	1.40 ± 0.49	0.61 ± 0.44	0.37 ± 0.45	0.21 ± 0.40	0.14 ± 0.41	5.467	12.530
Control (n = 75)	3.01 ± 0.70	2.45 ± 0.52	0.04 ± 0.66	1.46 ± 0.57	0.82 ± 0.70	0.53 ± 0.55	0.44 ± 0.54	0.35 ± 0.53
t (P-value)	0.354 (0.724)	0.479 (0.633)	0.376 (0.708)	0.657 (0.512)	2.152 (0.033)^*	1.880 (0.062)	2.555 (0.012)^*	2.077 (0.041)^*	0.022^*	0.001^**

6-Fetal heart rates B/M
Study (n = 75)	135.72 ± 8.64	136.44 ± 8.84	133.80 ± 7.74	130.92 ± 9.43	133.06 ± 7.57	133.77 ± 8.72	130.33 ± 8.88	128.46 ± 9.49	0.507	1.299
Control (n = 75)	133.73 ± 8.38	134.81 ± 9.31	132.80 ± 8.31	131.08 ± 8.07	131.00 ± 0.10	131.98 ± 7.92	128.18 ± 9.32	129.37 ± 8.01
t (P-value)	1.444 (0.151)	1.097 (0.275)	0.762 (0.447)	0.112 (0.911)	1.424 (0.157)	0.776 (0.439)	1479 (0.141)	0.632 (0.528)	0.478	0.256

7-Pain scores (visual pain analogue scale)
Study (n = 75)	7.29 ± 0.61	7.70 ± 0.45	7.77 ± 0.42	8.21 ± 0.59	8.86 ± 0.34	9.30 ± 0.46	9.48 ± 1.25	9.61 ± 1.27	16.683	0.039
Control (n = 75)	7.22 ± 0.53	7.76 ± 0.42	7.80 ± 0.40	8.25 ± 0.63	8.92 ± 0.39	9.33 ± 0.50	9.52 ± 0.54	9.53 ± 0.53
t (P-value)	0.712 (0.478)	0.735 (0.464)	0.396 (0.693)	0.395 (0.693)	0.884 (0.378)	0.348 (0.728)	0.256 (0.798)	0.514 (0.608)	0.000^**	0.843

Neonates’ admission to Neonatal Intensive Care Unit (NICU) (n = 150).

Neonates’ admission to NICU	Study group (n = 75)		Control group (n = 75)		Significant test	P-value
Yes	3	4.0	5	6.7	0.528^a	0.467
No	72	96.0	70	93.3

eISSN:: 2544-8994
Język:: Angielski

Częstotliwość wydawania:: 4 razy w roku
Dziedziny czasopisma:: Medicine, Assistive Professions, Nursing

Kanał RSS czasopisma

Effect of upright and ambulant positions versus lying down during the active first stage of labor on birth outcomes among nulliparous women: randomized controlled clinical trial

Article Category: Original article

Data publikacji: 02 paź 2020

Zakres stron: 239 - 248

Otrzymano: 12 gru 2019

Przyjęty: 15 sty 2020

DOI: https://doi.org/10.2478/fon-2020-0035

Słowa kluczowebirth outcomes, first stage of labor, lying down, upright position

© 2020 Heba Abdel-Fatah Ibrahim et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Cesarean birth rates, oxytocin use, and labor stages duration among parturient women in the two groups (n = 150).

Demographic characteristics, BMI, and weeks of gestation of parturient women in the two groups (n = 150).

Neonates’ outcome between the two groups (M ± SD).

Labor progress of parturients in the two groups (M± SD).

Neonates’ admission to Neonatal Intensive Care Unit (NICU) (n = 150).

Słowa kluczowe
birth outcomes, first stage of labor, lying down, upright position