Dans quelle position les femmes accouchent-elles en 2015  ? Résultats d’une étude prospective régionale multicentrique

Conclusion La position gynécologique reste la principale position adoptée par les femmes pour accoucher. Un recueil systématique des positions d’accouchement sur le partogramme, et une définition précise de celles-ci permettraient d’évaluer les bénéfices/inconvénients des différentes positions d’accouchement actuellement largement diffusées. Objective To assess the frequency of labor and birth positions in 2015, and identify factors associated with choosing and changing position during labor. Methods 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. Results 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]. Epidur...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research