Abstract

MOLINA-REYES, Cristina Y. et al. Efficacy of hands and knees maternal posture to correct the occipitoposterior fetal position during labor. Index Enferm [online]. 2014, vol.23, n.1-2, pp.15-20. ISSN 1699-5988.  https://dx.doi.org/10.4321/S1132-12962014000100004.

Objective: To evaluate the efficacy of hands and knees (HK) maternal posture during labor thus promoting fetal rotation from occipitoposterior to occipitoanterior and to compare the results with the lateral toward the fetal back posture. Methods: Multicenter clinical trial. By simple randomization and for at least 30 minutes, 65 women with a single fetus in occipitoposterior position took the HK posture (HK group) and 70 women took the "lateral toward the fetal back" posture (lateral group). Results: HK group and lateral group have similar fetal rotation to occipitoanterior during the intervention (55.4% vs. 54.3%, odds ratio of 1.04 for a confidence level of 95%: 0.53-2.06). There were no statistically significant differences for the results of duration and type of birth between groups. Conclusions: To improve birth outcomes, We recommend that pregnant women with occipitoposterior fetal position adopt HK posture and lateral toward the fetal back posture during labor, because both postures have similar efficacy of fetal rotation to occipitoanterior.

Keywords : Labor; Fetal rotation; Posture lateral; Posture hands and knees; Position occipitoposterior.