New approaches for assessing childbirth positions.

Details

Serval ID
serval:BIB_1A0EF5100DBE
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
New approaches for assessing childbirth positions.
Journal
Journal of gynecology obstetrics and human reproduction
Author(s)
Desseauve D., Pierre F., Gachon B., Decatoire A., Lacouture P., Fradet L.
ISSN
2468-7847 (Electronic)
ISSN-L
2468-7847
Publication state
Published
Issued date
02/2017
Peer-reviewed
Oui
Volume
46
Number
2
Pages
189-195
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
An overview of labor based only on epidemiological data cannot identify or explain the mechanisms involved in childbirth. Data about the position that women should take in giving birth are discordant. None of the studies of birth positions adequately define or describe them or their biomechanical impact (pelvic orientation, position of the back). The measurement of the effect of one position relative to that of another requires precise definitions of each position and of their maternal biomechanical consequences, as well as safe measurement methods.
We have developed a system to analyze the position of labor by quantifying the posture of the woman's body parts (including thighs, trunk, and pelvis), using an optoelectronic motion capture device (Vicon™, Oxford Metrics) widely used in human movement analysis and a system for measuring the lumbar curve (Epionics spine system). A specific body model has also been created to conduct this biomechanical analysis, which is based on external markers. With this methodology and model, it should be possible to define: (1) the hip joint angles (flexion/extension, abduction/adduction, internal/external rotation); (2) the ante/retroversion of the pelvis; (3) the lumbar curve.
This methodology could become a reference for assessing delivery postures, one that makes it possible to describe the relation between the postures used in the delivery room and their impact on the pelvis and the spine in an integrated and comprehensive model.
No. Eudract 2013-A01203-42.

Keywords
Assessment, Biomechanics, Delivery, Lumbar curve, Motion capture, Obstetrical, Pelvis, Position
Pubmed
Create date
08/12/2017 12:12
Last modification date
20/08/2019 13:51
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