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Maternal positions and mobility during first stage labour [Intervention Review] Annemarie Lawrence1, Lucy Lewis2, G Justus

Hofmeyr3, Therese
1

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Institute of &omen's an( #hi!(ren's Hea!th )1%*, The Townsvi!!e Hos+ita!, ou,!as, Austra!ia- 2The $choo! of &omen's an( Infants' Hea!th.The $choo! of /ae(iatrics an( #hi!( Hea!th, The 0niversity of &estern Austra!ia, $u1iaco, Austra!ia- 3 e+artment of 21stetrics an( Gynaeco!o,y, 3ast Lon(on Hos+ita! #om+!e4, 0niversity of the &itwatersran(, 0niversity of 5ort Hare, 3astern #a+e e+artment of Hea!th, 3ast Lon(on, $outh Africa" #ochrane /re,nancy an( #hi!(1irth Grou+, $choo! of Re+ro(uctive an( eve!o+menta! 6e(icine, ivision of /erinata! an( Re+ro(uctive 6e(icine, The 0niversity of Liver+oo! , Liver+oo!, 07- %Institute of &omen's an( #hi!(ren's Hea!th, The Townsvi!!e Hos+ita!, ou,!as, Austra!ia #ontact a((ress8 Annemarie Lawrence, Institute of &omen's an( #hi!(ren's Hea!th )1%*, The Townsvi!!e Hos+ita!, 199 An,us $mith rive, ou,!as, :ueens!an(, ";19, Austra!iaannemarie<!awrence=hea!th->!(-,ov-au- annie!aw=1i,+on(-net-au- )3(itoria! ,rou+8 #ochrane /re,nancy an( #hi!(1irth Grou+-* Cochrane Database of Systematic Reviews, Issue 2, 299? )$tatus in this issue8 New* #o+yri,ht @ 299? The #ochrane #o!!a1oration- /u1!ishe( 1y John &i!ey A $ons, Lt(2I8 19-1992.1"B%1;%;-# 993?3"-+u12 This version first +u1!ishe( on!ine8 1% A+ri! 299? in Issue 2, 299?- Last assesse( as u+CtoC (ate8 39 ecem1er 299;- ) ates an( statusesD* This recor( shou!( 1e cite( as8 Lawrence A, Lewis L, Hofmeyr GJ, owswe!! T, $ty!es #6aterna! +ositions an( mo1i!ity (urin, first sta,e !a1our- Cochrane Database of Systematic Reviews 299?, Issue 2- Art- Eo-8 # 993?3"- 2I8 19-1992.1"B%1;%;-# 993?3"-+u12-

Abstract
Background It is more common for women in the (eve!o+e( wor!(, an( those in !owCincome countries ,ivin, 1irth in hea!th faci!ities, to !a1our in 1e(- There is no evi(ence that this is associate( with any a(vanta,e for women or 1a1ies, a!thou,h it may 1e more convenient for staff21servationa! stu(ies have su,,este( that if women !ie on their 1acFs (urin, !a1our this may have a(verse effects on uterine contractions an( im+e(e +ro,ress in !a1ourObjectives The +ur+ose of the review is to assess the effects of encoura,in, women to assume (ifferent u+ri,ht +ositions )inc!u(in, wa!Fin,, sittin,, stan(in, an( Fnee!in,* versus recum1ent +ositions )su+ine, semiCrecum1ent an( !atera!* for women in the first sta,e of !a1our on !en,th of !a1our, ty+e of (e!ivery an( other im+ortant outcomes for mothers an( 1a1iesSearch strategy &e searche( the #ochrane /re,nancy an( #hi!(1irth Grou+Gs Tria!s Re,ister )Eovem1er 299;*Selection criteria Ran(omise( an( >uasiCran(omise( tria!s com+arin, women ran(omise( to u+ri,ht versus recum1ent +ositions in the first sta,e of !a1our-

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