Use of Upright Positioning With Epidural Analgesia: Findings From an Observational Study

作者: Linda J. Mayberry , Laura B. Strange , Patricia Dunphy Suplee , Susan Gennaro

DOI: 10.1097/00005721-200305000-00004

关键词: ChildbirthMedicineEmotional supportSecond stage laborResearch findingsObservational studyVaginal bleedingNeonatal outcomesPosition (obstetrics)Physical therapyMaternity and MidwiferyPharmacology (nursing)

摘要: PURPOSE To present research findings and related nursing implications from an observational study designed to evaluate the use of upright positioning during second stage labor with patients who had received low-dose epidural analgesia. STUDY DESIGN AND METHODS This descriptive evaluated outcomes a sample 74 healthy women having their first childbirth. They all analgesia stages labor. Data were also collected by nurses on birthing beds, extent physical emotional support needed while following protocol. RESULTS All able maintain positions throughout administration. No adverse neonatal or maternal problems (such as excessive vaginal bleeding) documented. CLINICAL IMPLICATIONS Although capable assuming stage, results indicated that constant was necessary for most women. Future methods prepare multiple position options after administration should be undertaken. In addition, benefits in terms facilitating progress

参考文章(21)
Kathy Gilder, Linda J. Mayberry, Susan Gennaro, Donna Clemmens, Maternal Positioning in Labor With Epidural Analgesia: Results From a Multi-site Survey AWHONN Lifelines. ,vol. 6, pp. 40- 45 ,(2002) , 10.1111/J.1552-6356.2002.TB00017.X
David C. Campbell, Rhonda M. Zwack, Lesley-Ann L. Crone, Ray W. Yip, Ambulatory labor epidural analgesia: bupivacaine versus ropivacaine. Anesthesia & Analgesia. ,vol. 90, pp. 1384- 1389 ,(2000) , 10.1097/00000539-200006000-00023
Terrance W. Breen, Todd Shapiro, Bonnell Glass, Diane Foster-Payne, Nancy E. Oriol, Epidural anesthesia for labor in an ambulatory patient Anesthesia & Analgesia. ,vol. 77, pp. 919- 924 ,(1993) , 10.1213/00000539-199311000-00008
Steven L. Bloom, Donald D. McIntire, Mary Ann Kelly, Heidi L. Beimer, Rebecca H. Burpo, Marcy A. Garcia, Kenneth J. Leveno, Lack of effect of walking on labor and delivery The New England Journal of Medicine. ,vol. 339, pp. 76- 79 ,(1998) , 10.1056/NEJM199807093390203
Terrance W. Breen, Bernard J. Ransil, Phillppa A. Groves, Nancy E. Oriol, Factors associated with back pain after childbirth. Anesthesiology. ,vol. 81, pp. 29- 34 ,(1994) , 10.1097/00000542-199407000-00006
C. Méndez-Bauer, J. Arroyo, C. García Ramos, A. Menéndez, M. Lavilla, F. Izquierdo, I. Villa Elízaga, J. Zamarriego, Effects of standing position on spontaneous uterine contractility and other aspects of labor Journal of Perinatal Medicine. ,vol. 3, pp. 89- 100 ,(1975) , 10.1515/JPME.1975.3.2.89
Neil Roy Connelly, Robert K. Parker, Veda Vallurupalli, Shailesh Bhopatkar, Steven Dunn, Comparison of epidural fentanyl versus epidural sufentanil for analgesia in ambulatory patients in early labor. Anesthesia & Analgesia. ,vol. 91, pp. 374- 378 ,(2000) , 10.1213/00000539-200008000-00026
Joy L. Hawkins, Charles P. Gibbs, Miriam Orleans, Gallice Martin-Salvaj, Brenda Beaty, Obstetric Anesthesia Work Force Survey, 1981 versus 1992 Anesthesiology. ,vol. 87, pp. 135- 143 ,(1997) , 10.1097/00000542-199707000-00018
Jun Zhang, Michael K. Yancey, Mark A. Klebanoff, Jenifer Schwarz, Dina Schweitzer, Does epidural analgesia prolong labor and increase risk of cesarean delivery? A natural experiment. American Journal of Obstetrics and Gynecology. ,vol. 185, pp. 128- 134 ,(2001) , 10.1067/MOB.2001.113874