title: Hands-and-knees positioning during labor with epidural analgesia.
abstract: Hands-and-knees position has shown promise as an intervention to improve labor and birth outcomes, but no reports exist that examine its use with women laboring with epidural analgesia. Concerns of safety, effects on analgesia, and acceptability of use may limit use of active positioning during labor with regional analgesia. This article presents a case study series of 13 women who used hands-and-knees position in the first stage of labor.
authors.affiliation: University of Toronto, 155 College Street, Room 288, Toronto, ON M5T 1P8, Canada. robyn.stremler@utoronto.ca
authors.forename: Robyn
authors.initials: R
authors.lastname: Stremler
authors.forename: Stephen
authors.initials: S
authors.lastname: Halpern
authors.forename: Julie
authors.initials: J
authors.lastname: Weston
authors.forename: Jennifer
authors.initials: J
authors.lastname: Yee
authors.forename: Ellen
authors.initials: E
authors.lastname: Hodnett
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D002170:Canada; D005260:Female; D006801:Humans; D007746:Labor Presentation; D007747:Labor Stage, First; D007743:Labor, Obstetric; D017060:Patient Satisfaction; D011187:Posture; D011247:Pregnancy; D012449:Safety; D016896:Treatment Outcome