Miquelutti Maria Amelia, Cecatti Jose Guilherme, Makuch Maria Yolanda
Department of Obstetrics and Gynecology, School of Medicine, Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil.
Acta Obstet Gynecol Scand. 2007;86(5):553-8. doi: 10.1080/00016340601185251.
Evaluation of the upright position during the first stage of labor on pain, patient satisfaction, obstetrical and perinatal outcomes in nullipara women.
This prospective, randomised, controlled trial included a group of 54 women who were informed and encouraged to adopt the upright position, and a control group of 53 women who were not given this information. The difference between groups was evaluated using the chi2, Wilcoxon and Fisher's Exact tests. Significance was defined as p<0.05. Risk ratios and 95% confidence intervals were calculated.
No statistically significant differences were found between the groups in baseline characteristics, obstetrical and perinatal outcomes; however, there was a preference among women in both groups for the upright position.
The upright position during the first stage of labor did not contribute towards a shorter duration of labor; however, it proved to be a safe and well-accepted option for the women of this study.
评估初产妇在第一产程中采用直立位对疼痛、患者满意度、产科及围产期结局的影响。
这项前瞻性、随机、对照试验纳入了一组54名被告知并被鼓励采用直立位的女性，以及一组53名未获得该信息的女性作为对照组。使用卡方检验、威尔科克森检验和费舍尔精确检验评估两组之间的差异。显著性定义为p<0.05。计算风险比和95%置信区间。
两组在基线特征、产科及围产期结局方面未发现统计学上的显著差异；然而，两组女性均更倾向于直立位。
第一产程中的直立位并未缩短产程；然而，对于本研究中的女性而言，它被证明是一种安全且被广泛接受的选择。
