Dans quelle position les femmes accouchent-elles en 2015 ? Résultats d’une étude prospective régionale multicentrique [In which position do women give birth in 2015? Results from a prospective multicenter study]

Détails

ID Serval
serval:BIB_59D853543EC3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Dans quelle position les femmes accouchent-elles en 2015 ? Résultats d’une étude prospective régionale multicentrique [In which position do women give birth in 2015? Results from a prospective multicenter study]
Périodique
Gynecologie, obstetrique & fertilite
Auteur⸱e⸱s
Desseauve D., Gachon B., Bertherat P., Fradet L., Lacouture P., Pierre F.
ISSN
1769-6682 (Electronic)
ISSN-L
1297-9589
Statut éditorial
Publié
Date de publication
10/2016
Peer-reviewed
Oui
Volume
44
Numéro
10
Pages
548-556
Langue
français
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Résumé
To assess the frequency of labor and birth positions in 2015, and identify factors associated with choosing and changing position during labor.
Multicenter prospective study during five weeks in 2015. We collected the distribution of the observed positions during the first and second stage of labor. Then we considered the main birth position as the one used for the longest duration. Factors associated to the main birth position as well as to the changes of position during labor were studied using univariate analysis and the role of each factor was analyzed using multilevel logistic regression.
Among women who delivered, 86.1% did so in gynecological position. There was a center effect for the position during the expulsive phase, which was not related to legal status or level of perinatal care. After adjustment, a labor duration shorter than 2hours was associated to dorsal decubitus during labor (OR=2.1 95%CI [1.01-4.3]). Prematurity and labor duration less than 2hours decreased the occurrence of changes in position during labor: OR=0.05 95%CI [0.01-0.2] and OR=0.2 95%CI [0.1-0.3]. Epidural analgesia was associated to change in birth position during labor: (OR=2.1 95%CI [1.2-3.8]). During the expulsive phase, primiparity and labor duration less than 2hours were associated to dorsal decubitus position (OR=3.6 95%CI [1.2-10.8]).
Women still mostly deliver in gynecological position in 2015. A systematic collection of birth positions on the partograph, with an acute definition of these positions, could allow an evaluation of the benefits/disadvantages of the different positions currently available.
Mots-clé
Adult, Analgesia, Epidural, Delivery, Obstetric/methods, Female, Humans, Labor Stage, Second, Parity, Parturition, Posture, Pregnancy, Pregnancy Complications, Premature Birth, Prospective Studies, Time Factors, Accouchement, Birth, Birth position, Delivery, Epidemiology, Grossesse, Labor, Naissance, Position d’accouchement, Travail obstétrical, Épidémiologie
Pubmed
Web of science
Création de la notice
25/10/2018 13:58
Dernière modification de la notice
20/08/2019 14:13
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