[Labor in the squatting position. [A randomized trial comparing the squatting position with the classical position for the expulsion phase].
OBJECTIVE
To evaluate the influence of a vertical delivery position squatting during expulsion, studying different parameters such as duration of expulsion, neonatal status, delivery mode, frequency of hemorrhagia, perineum status and patient comfort.


METHODS
Randomized, unicentric, comparative, open, prospective.


METHODS
After a retrospective study determining feasibility, 240 patients were randomized to equal 2 groups in which the delivery was performed in squat position versus in lithotomy position. All the above described parameters were recorded and treated by the Epi-Info software package using Student t test, chi 2 and Kruskall-Wallis test.


RESULTS
Our study has shown a tendency to shorten the length of the expulsion phase and a reduced use of forceps in the squat position. This is consistent with other studies published in the literature. We would like to emphasize that even if it does not show a medical advantage on the studied parameters, the squat position is not deleterious and can provide a better comfort for the patients who want to use it.
Racinet
C
C
Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Hôpital de la Tronche, CHU De Grenoble.
Eymery
P
P
Philibert
L
L
Lucas
C
C
D036861:Delivery, Obstetric / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D009772:Obstetrical Forceps; D011247:Pregnancy