Delivery in an obstetric birth chair: a randomized controlled trial
To determine whether nulliparae whose second stage of labour is conducted in an obstetric birth chair have a lower incidence of instrumental delivery than those using a conventional delivery bed. Randomized controlled trial using sealed, opaque envelopes for allocation. Delivery ward in a busy teach...
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Published in | British journal of obstetrics and gynaecology Vol. 98; no. 7; p. 667 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
England
01.07.1991
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Subjects | |
Online Access | Get more information |
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Summary: | To determine whether nulliparae whose second stage of labour is conducted in an obstetric birth chair have a lower incidence of instrumental delivery than those using a conventional delivery bed.
Randomized controlled trial using sealed, opaque envelopes for allocation.
Delivery ward in a busy teaching hospital.
1250 nulliparae with a singleton live fetus with cephalic presentation, without epidural anaesthesia, who had achieved full dilatation.
Intention to conduct second and third stages of labour in either the Birth-EZ chair or the conventional delivery bed, as randomly allocated.
Primary measure: vaginal operative delivery; principal secondary measures: duration of second stage, perineal trauma, blood loss, women's views, and neonatal status.
Delivery in the birth chair did not result in a reduction in operative delivery, overall. However, there was a reduction in vaginal operative delivery for fetal heart rate abnormality. There was no beneficial effect on perineal trauma or puerperal perineal pain. Post-partum haemorrhage was more frequent in the birth chair group.
Delivery in the birth chair does not offer any obvious advantage to women over delivery on a bed. |
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ISSN: | 0306-5456 1365-215X |
DOI: | 10.1111/j.1471-0528.1991.tb13453.x |