Abstract: This paper explores the conclusion that women and their infants are at an increased risk for harm when assisted devices are used during the second stage of labor. Traditional practices involving a supine position during pushing have been associated with an elevated likelihood of assisted delivery, necessitating interventions such as forceps, vacuum extraction, or episiotomy. However, emerging evidence suggests that adopting an upright position during labor may help decrease the need for these interventions and positively impact maternal and fetal outcomes.
Although comprehensive research on this topic is limited, the available evidence supports the benefits of an upright position in labor. Theoretical frameworks suggest that an upright position can contribute to a shorter duration of labor, leading to a reduced requirement for assisted devices. Additionally, adopting an upright position may potentially decrease estimated blood loss, further enhancing maternal well-being. Despite the paucity of research, the existing positive evidence encourages healthcare providers to consider and support the adoption of upright laboring positions.
To ensure the best outcomes for women and their infants, it is crucial for healthcare providers to stay informed about the current literature regarding the benefits of the upright position during the second stage of labor. This knowledge can enable providers to encourage and assist women who express a desire to adopt these practices. By promoting and facilitating upright laboring positions, healthcare professionals can potentially mitigate risks, optimize maternal-fetal outcomes, and enhance the overall childbirth experience. Further research is warranted to provide a more comprehensive understanding of the advantages associated with an upright position during labor.
Cook, Chelsey, "Benefits of Using an Upright Laboring Position as Compared to Supine in the Second Stage of Labor and the Impact on the Use of Assisted Devices" (2023). Master of Science in Nursing Family Nurse Practitioner. 16.
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