Cochrane · systematic review · CD002006
Position in the second stage of labour for women without epidural anaesthesia
Gupta, JK, Sood, A, Hofmeyr, GJ, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 3 · 42.9%Moderate 2 · 28.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Any upright compared to supine position for the second stage of labour for women without epidural anaesthesia
Population: women in the second stage of labour without epidural anaesthesia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Duration of second stage of labour Any upright vs supine position | no estimate extracted | 19 studies · 5811 participants | Very low Downgraded: risk of bias |
Mode of birth: assisted birth Any upright vs supine position | RR 0.75 [0.66, 0.86] | 21 studies · 6481 participants | Moderate Downgraded: risk of bias |
Mode of birth: caesarean section Any upright vs supine position | RR 1.22 [0.81, 1.81] | 16 studies · 5439 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Trauma to the birth canal that required suturing: second degree perineal tears Any upright vs supine position | RR 1.2 [1, 1.44] | 18 studies · 6715 participants | Low Downgraded: risk of bias |
Trauma to the birth canal that required suturing: third/fourth degree tears Any upright vs supine position | RR 0.72 [0.32, 1.65] | 6 studies · 1840 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Blood loss > 500 mL Any upright vs supine position | RR 1.48 [1.1, 1.98] | 15 studies · 5615 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Admission to neonatal intensive care unit Any upright vs supine position | RR 0.79 [0.51, 1.21] | 4 studies · 2565 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |