Squatting position shows no benefit in the second stage of l
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The influence of squatting during delivery on maternal and fetal outcomes remains unclear. Researchers performed a systematic review and meta-analysis to evaluate the benefits and risks of adopting a squatting position during the second stage of labor. A systematic search in the three major electronic databases (CENTRAL, PubMed, and Embase) was performed, from their respective inception date, using ‘squatting’, and a combination of keywords to identify delivery. Randomized controlled trials comparing squatting position to any supine position during the second stage of labor.

The available evidence does not show the squatting position during childbirth to be beneficial. As there is no evidence for or against squatting, women should be able to choose the position they prefer.

Seven randomized controlled trials (n=1219) were included. Three studies were assessed as low risk of bias, three others as moderate, and one study at a high risk of bias. The main limitation is the lack of reporting on the methods to achieve randomization and concealment of allocation in most of the studies. There was no difference in the duration of the second stage of labor (mean -11.09 min; 95%CI -38.85 to 16.68). In the squatting group, the risk of cesarean section was increased (RR 2.26, 95%CI 1.07 - 4.80) and the risk of instrumental delivery was decreased (RR 0.60, 95%CI 0.45 - 0.81), which results in a similar probability of spontaneous delivery. There were no differences regarding the other maternal and fetal outcomes.

Source:https://www.ejog.org/article/S0301-2115(20)30591-1/fulltext?rss=yes
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