Upright position vs recumbent position: Operative birth (caesarean or instrumental vaginal)
Upright position leads to higher operative birth (caesarean or instrumental vaginal) compared with recumbent position (sensitivity analyses ‐ studies at low risk of… (high certainty).
What each review found
Current versions only| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Upright position vs recumbent position (sensitivity analyses ‐ studies at low risk of bias only) Operative birth (caesarean or instrumental vaginal) · women in the second stage of labour with epidural anaesthesia Upright position leads to higher operative birth (caesarean or instrumental vaginal) compared with recumbent position (sensitivity analyses ‐ studies at low risk of… (high certainty). Maternal position in the second stage of labour for women with epidural anaesthesia (2018) · Cochrane Headline outcomes only | RR 1.11 [1.03, 1.2] | 3 studies · 3609 participants | High |
Upright position vs recumbent position Operative birth (caesarean or instrumental vaginal) · women in the second stage of labour with epidural anaesthesia Upright position showed no clear difference in operative birth (caesarean or instrumental vaginal) compared with recumbent position (low certainty). Maternal position in the second stage of labour for women with epidural anaesthesia (2018) · Cochrane Headline outcomes only | RR 0.86 [0.7, 1.07] | 8 studies · 4316 participants | Low |
Upright position vs recumbent position Operative birth (caesarean or instrumental vaginal) · women with epidural anaesthesia in the second stage of labour Upright position showed no clear difference in operative birth (caesarean or instrumental vaginal) compared with recumbent position (moderate certainty). Maternal position in the second stage of labour for women with epidural anaesthesia (2017) · Cochrane Headline outcomes onlyearlier version CD008070.PUB3, superseded | RR 0.97 [0.76, 1.25] | 5 studies · 874 participants | Moderate |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Maternal position in the second stage of labour for women with epidural anaesthesia 2018 · Cochrane Headline outcomes only | Not reported | list not extracted yet | Not assessed |
Studies behind the findings
None of these reviews ties its included studies to this outcome in the data here. Cochrane reviews and reviews with headline outcomes only do not list their studies yet.
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.