Effect of upright position on the duration of active phase of first stage of labour and labour outcome among primigravida at term in a tertiary care hospital: A Randomised controlled trial.

This study is a randomised control trial to assess the effectiveness of the upright position on the duration of the active phase of the first stage of labour. Primigravida women who met the inclusion criteria were enrolled in the labour room using the convenience sampling method and a sequentially numbered, opaque, sealed envelope. Informed consent was obtained, and the procedure was performed. The baseline data was collected from both groups by using a socio-demographic proforma. In the experimental group, after taking consent Primigravida in spontaneous labor was given upright position (standing, hip dangling, walking, squatting, siting on birthing ball, sitting on the mat ) as long as women is comfortable for every 30min in an hour remaining 15min FHR and uterine contraction was assessed and for remaining 15min she took rest by sitting on the chair. After every 4 hours, PV was monitored and when she dilated to 7-8cm, for the remaining time she was made to sit on the chair till full cervical dilatation. The control group was asked to lie down in the left lateral or supine position as per hospital routine. FHR and uterine contraction was monitored for 15min in every 30min  duration. Routine PV was done every 4thhourly to check the cervical dilatation. After the delivery mode of delivery, degree of perineal tear, occurrence of PPH, APGAR scoring at 1min and 5min, and need for NICU admission were assessed.