Study of Different Birthing Position and Its Outcome in Tertiary Care Centre

1. In this study, more number of women of age group 20 to 24 were involved. 2. In this study, more number of primigravida were present, where as in multigravida more number of women chooses the non supine posture. 3. In this study, majority of women choose to experience non supine posture, of which squatting position is the most favourable posture. 4. In this study, duration of the labour is reduced in non supine posture, of which sitting and squatting position is the best due to the more frequent and sustained uterine contraction and good expulsive forces in these postures. 5. In this study, more women in non supine posture, had more intact perineum and first degree lacerated perineum,of which sitting position had more number of intact perineum and only 2 number of women needed episiotomy, as this posture has good access to the perineum and convenient in giving support. 6. In this study, blood loss of in both supine and non supine posture had no significant difference. 7. In this study, most of the women in non supine group, experienced mild to moderate pain, of which 48.1% of women in squatting position and 51.6% of women in sitting experienced moderate pain, and 10.8% of women in squatting position and 23.1% of women in sitting position experienced mild pain, which conveys that women in non supine posture, had better birthing experience. 8. In this study, more women in non supine position experienced very happy of which 48.1% of women is in left lateral position, which is the favourable position in this study, because this position also enable sthe women to take rest in between the contractions. 9. In this study, Incidence of lowbacke ache is low in non supine posture when followed up postnatally. 10. There is no difference in birthweight and NICU admissions between supine and non supine position. CONCLUSION: ● Duration of 2nd stage of labour is reduced in the sitting, squatting and left lateral posture. ● Need for episiotomy and 3rd degree perineal tears are reduced in non-supine postures when compared to the conventional postures. ● Maternal perception of pain is reduced in non-supine postures. ● Overall maternal mental satisfaction is more in non supine postures. ● Based on the results of the study of this study, mother can be encouraged to assume the position of her choice during labour, hence making her birthing process a memorable one. ● The bottom line is that people giving birth with or without an epidural have the right to push and give birth in whatever position is most comfortable for them. ● Evidence and ethical guidelines support this. Both the Committee on Ethics of the American College of Obstetricians and Gynecologists (ACOG) and the American Nurses Association (ANA) have issued statements affirming the importance of patient autonomy