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Corrective effects of maternal extreme flexure and hip abduction combined with contralateral side‐lying on persistent foetal occipito‐posterior position
Author(s) -
Liu Lanping,
Chen Jiuhong,
Yang Zhijuan,
Zhu Jun
Publication year - 2018
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12663
Subject(s) - medicine , position (finance) , lying , external rotation , orthodontics , surgery , finance , economics , radiology
Aims To observe the corrective effects of maternal extreme flexure and hip abduction combined with contralateral side‐lying on persistent foetal occipito‐posterior position. Background Digital rotation and other methods are used for correction of a persistent foetal occipito‐posterior position. However, digital rotation readily causes damage to mother and foetus, and the correction rates of other methods are low. Design In this observational study, pregnant women were randomly divided into 2 groups according to different postures and their outcomes were compared. Methods A total of 238 women with persistent foetal occipito‐posterior position gave birth in our hospital between January 2015 and June 2017. Of these 238 cases, 12 women declined to participate. The 226 pregnant women were divided into study group (maternal extreme flexure and hip abduction combined with contralateral side‐lying, n = 114) and control group (contralateral side‐lying alone, n = 112). Results The correction and spontaneous labour rates were higher in the study group than in the control group ( P < .05). The duration between initial and successful correction and birth process were shorter in the study group than in the control group ( P < .05). Conclusion Maternal extreme flexure and hip abduction combined with contralateral side‐lying has better correction effect on persistent foetal occipito‐posterior position.