Study design
Gaurav S. Desai M.D., Friyan Turel M.B.B.S., Shyam V. Desai M.D. Department of Obstetrics and Gynaecology, University of Mumbai, India Introduction
Various birthing practices were prevalent since ancient times when medical protocols were not well developed and childbirth handled by midwives having basic knowledge of labor!" Before the 17th century the upright birthing position was common Supine position became popular: convenience for health professionals rather than the benefits for women Borell and Fernstrom (1957) demonstrated that marked mobility of the pelvis at term was caused by an upward gliding movement of the sacroiliac joint Gardosi et al (1989): Sacroiliac joint mobility is the reason why squatting quickens 2nd stage of labor Squatting lengthens the gluteus muscles, hamstrings, quadriceps (thighs) and calf muscles – all very helpful! !
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O%345"4-('*$"
Aims and Objectives: To assess the risks and benefits of squatting position during second stage of labour, and its comparison with the supine position
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Squatting position: R402$%2*-(>" Squatting opens the pelvis by 30% compared to lying down Squatting is reportedly less painful than lying down Squatting ‘straightens' the birth canal as it helps the pelvic bones to line up, rather than emphasizing the uturn caused by the lithotomy position or the semi-sitting position Squatting makes use of gravity All of the above help to shorten the pushing phase of labour Less oxytocin is required to speed up the delivery process Squatting also decreases the need for the use of forceps when compared to the semi-sitting position The dangling squat also helps to lengthen the body which can give the baby space to get into a better position Some studies mention that squatting prevents tearing, although this is debatable Squatting decreases episiotomy rates
Material and Methods: #$"%&'(")$*)'$*"+,)(+-./0-".1'$'.21"(%345"67"$),821"+,-*$2$%"9)8-$"'$"(:32;$*"+)('/)$"
Various birthing practices were prevalent since ancient times when medical protocols were not well developed and childbirth handled by midwives having basic knowledge of labor!" Before the 17th century the upright birthing position was common Supine position became popular: convenience for health professionals rather than the benefits for women Borell and Fernstrom (1957) demonstrated that marked mobility of the pelvis at term was caused by an upward gliding movement of the sacroiliac joint Gardosi et al (1989): Sacroiliac joint mobility is the reason why squatting quickens 2nd stage of labor Squatting lengthens the gluteus muscles, hamstrings, quadriceps (thighs) and calf muscles – all very helpful! !
"
O%345"4-('*$"
Aims and Objectives: To assess the risks and benefits of squatting position during second stage of labour, and its comparison with the supine position
T),,-.%"a-.&$':3-"
#$.),,-.%"a-.&$':3-""
Squatting position: R402$%2*-(>" Squatting opens the pelvis by 30% compared to lying down Squatting is reportedly less painful than lying down Squatting ‘straightens' the birth canal as it helps the pelvic bones to line up, rather than emphasizing the uturn caused by the lithotomy position or the semi-sitting position Squatting makes use of gravity All of the above help to shorten the pushing phase of labour Less oxytocin is required to speed up the delivery process Squatting also decreases the need for the use of forceps when compared to the semi-sitting position The dangling squat also helps to lengthen the body which can give the baby space to get into a better position Some studies mention that squatting prevents tearing, although this is debatable Squatting decreases episiotomy rates
Material and Methods: #$"%&'(")$*)'$*"+,)(+-./0-".1'$'.21"(%345"67"$),821"+,-*$2$%"9)8-$"'$"(:32;$*"+)('/)$"
