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Who decides the position for birth? A follow-up study of a randomized controlled trial
Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institutet, Stockholm SE-171 76, Sweden.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institutet, Stockholm SE-171 76, Sweden.ORCID iD: 0000-0001-6985-6729
Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institutet, Stockholm SE-171 76, Sweden.
Department of Health Sciences, Lund University, Sweden .
2013 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 26, no 4, p. e99-e104Article in journal (Refereed) Published
Abstract [en]

Background Physical benefits are suggested for women and their babies when women adopt an upright position of their choice at birth. Available care options during labour influence women's impressions of what intrapartum care is. This indicates that choice of birth positions may be determined more by midwives than by women's preferences.

Question The aims of this study were to investigate factors associated with adherence to allocated birth position and also to investigate factors associated with decision-making for birth position.

Method An invitation to answer an on-line questionnaire was mailed.

Findings Despite being randomised, women who gave birth on the seat were statistically significantly more likely to report that they participated in decision-making and that they took the opportunity to choose their preferred birth position. They also reported statistically significantly more often than non-adherers that they felt powerful, protected and self-confident.

Conclusions Midwives should be conscious of the potential impact that birth positions have on women's birth experiences and on maternal outcomes. Midwives should encourage women's autonomy by giving unbiased information about the birth seat. An upright birth position may lead to greater childbirth satisfaction. Women's experience of and preferences for birth positions are consistent with current evidence for best practice.

Place, publisher, year, edition, pages
2013. Vol. 26, no 4, p. e99-e104
Keywords [en]
Birth position, Decision-making, On-line questionnaire, RCT, Second stage of labour
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-19056DOI: 10.1016/j.wombi.2013.06.004ISI: 000327774500001PubMedID: 23932671Scopus ID: 2-s2.0-84888343876OAI: oai:DiVA.org:miun-19056DiVA, id: diva2:625259
Note

Available online 6 aug 2013

Available from: 2013-06-04 Created: 2013-06-04 Last updated: 2017-12-06Bibliographically approved

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Hildingsson, Ingegerd

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