Hill-Rom Company.
MCN Am J Matern Child Nurs. 2010 Mar-Apr;35(2):72-8; quiz 79-80. doi: 10.1097/NMC.0b013e3181caeab3.
The benefits of maternal movement and position changes to facilitate labor progress have been discussed in the literature for decades. Recent routine interventions such as amniotomy, induction, fetal monitoring, and epidural anesthesia, as well as an increase in maternal obesity, have made position changes during labor challenging. The lack of maternal changes in position throughout labor can contribute to dystocia and increase the risk of cesarean births for failure to progress or descend. This article provides a historical review of the research findings related to the effects of maternal positioning on the labor process and uses six physiological principles as a framework to offer suggestions for maternal positioning both before and after epidural anesthesia.
几十年来，文献中一直讨论产妇运动和体位变化对促进产程进展的益处。最近的常规干预措施，如人工破膜、引产、胎儿监护和硬膜外麻醉，以及产妇肥胖的增加，使得分娩期间的体位变化变得具有挑战性。分娩过程中产妇体位缺乏变化会导致难产，并增加因进展或下降失败而进行剖宫产的风险。本文对与产妇体位对分娩过程影响相关的研究结果进行了回顾，并使用六个生理原理作为框架，为硬膜外麻醉前后的产妇体位提供了建议。
