Scoping review on the impact of lateral position during the second stage of labor on delivery outcomes in low-risk primiparous women
Objective To determine the current status of lateral position delivery during the second stage of labor,to clarify the future research directions and promote a more rational application of delivery positions in clinical practice.Methods The production of re-view was in line with JBI's updated methodological guidance for the conduct of scoping reviews,and the PRISMA-ScR was used as a reporting checklist.A comprehensive search was conducted in databases,including PubMed,Embase,Web of Science,CI-NAHL Plus,ProQuest Dissertations & Theses,CNKI,Wanfang Database,VIP,SinoMed,China Doctoral/Master's Disserta-tions Full-text Database(CDFD-CMFD),and China Dissertation Database(CDDB),for relevant studies on lateral position during the second stage of labor.The search time frame was set from the inception of the databases to November 25,2022.Data extrac-tion and analysis were performed on the included literature.Results A total of 45 articles were included in the review and there was little variation in the interventions for lateral position delivery during the second stage of labor across studies.The results indicated that,compared to traditional positions,lateral position intervention could improve most maternal and neonatal outcome indicators for low-risk primiparous women,though it demanded more midwifes and more midwifery services.Conclusion Lateral position de-livery during the second stage of labor has advantages in improving multiple maternal and neonatal outcome indicators for low-risk primigravid women,and can be considered as a novel delivery position in actual deliveries.However,more high-quality and large-scale studies are needed to validate the feasibility of this position in the clinical settings.
primiparous womenlaborthe second stage of laborlateral positionphysiological indicatorspsychological indicatorsmaternal and neonatal outcomesscoping review
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