The Effect of Standing and Squatting Positions During the First Stage of Labor on Birth Process, Birth Comfort, and Perceived Traumatic Birth Experience Among Multiparous Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 82
- 试验地点
- 1
- 主要终点
- Total Labor Duration
研究概览
简要总结
Background: Maternal position during labor is a key non-pharmacological strategy that supports physiological birth and women's active participation in the childbirth process. Although upright positions have been associated with favorable labor outcomes compared with supine positions, evidence directly comparing different upright positions-particularly in relation to maternal birth experience and perceived traumatic birth-remains limited.
Objective: This study aimed to compare the effects of standing and squatting positions during the first stage of labor on the birth process, birth comfort, pain intensity, and perceived traumatic birth experience among multiparous women.
Methods: This study was conducted using a comparative interventional design. A total of 82 multiparous women were included and allocated to either the standing group (n=41) or the squatting group (n=41) during labor. Data were collected using a personal information form, the Visual Analog Scale (VAS) for pain, the Labor Comfort Scale, and the Traumatic Birth Perception Scale. Outcomes were assessed during labor and within the first two hours postpartum. Statistical analyses included comparative and correlation analyses.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Multiparous women aged ≥18 years
- •Gestational age between 38 and 42 weeks
- •Singleton pregnancy with cephalic presentation
- •Cervical dilatation ≥4 cm at admission
- •Low-risk pregnancy
- •Willingness to participate and provide written informed consent
排除标准
- •Multiple pregnancy
- •Presentation anomalies
- •High-risk pregnancy (e.g., preeclampsia, gestational diabetes, placenta-related complications)
- •Fetal distress or known fetal anomalies
- •Any medical or obstetric condition requiring restricted mobility during labor
研究组 & 干预措施
Squatting Position Group
Participants assigned to this group followed a squatting position-based labor management approach during the first stage of labor.
干预措施: Squatting Position During Labor (Behavioral)
Standing Position Group
Participants assigned to this group followed a standing position-based labor management approach during the first stage of labor.
干预措施: Standing Position During Labor (Behavioral)
结局指标
主要结局
Total Labor Duration
时间窗: From active labor onset (cervical dilatation ≥4 cm) to delivery
Total duration of labor measured in hours.
Birth Duration
时间窗: From the active phase of labor to birth
Duration of the birth process measured in minutes.
次要结局
未报告次要终点
研究者
Nilgun Avci
Biruni University
Biruni University