Nilgün Avcı
Istanbul, Turkey (Türkiye)
NCT Number: NCT07383181
Background: Maternal position during labor is a key non-pharmacological strategy that supports physiological birth and women's active participation in the childbirth process. Although upright positions have been associated with favorable labor outcomes compared with supine positions, evidence directly comparing different upright positions-particularly in relation to maternal birth experience and perceived traumatic birth-remains limited.
Objective: This study aimed to compare the effects of standing and squatting positions during the first stage of labor on the birth process, birth comfort, pain intensity, and perceived traumatic birth experience among multiparous women.
Methods: This study was conducted using a comparative interventional design. A total of 82 multiparous women were included and allocated to either the standing group (n=41) or the squatting group (n=41) during labor. Data were collected using a personal information form, the Visual Analog Scale (VAS) for pain, the Labor Comfort Scale, and the Traumatic Birth Perception Scale. Outcomes were assessed during labor and within the first two hours postpartum. Statistical analyses included comparative and correlation analyses.
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Notify Me18 year and older
Female
Interventional
Not applicable
Istanbul, Turkey (Türkiye)
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Women were encouraged to remain standing or to walk during contraction-related pain episodes throughout the first stage of labor under midwife supervision.
Women were encouraged to assume the squatting position during contractions during the first stage of labor, supported by a birthing ball or bed rails according to preference.
Time frame: From active labor onset (cervical dilatation ≥4 cm) to delivery
Total duration of labor measured in hours.
Time frame: From the active phase of labor to birth
Duration of the birth process measured in minutes.
Biruni University
Other
The Effect of Standing and Squatting Positions During the First Stage of Labor on Birth Process, Birth Comfort, and Perceived Traumatic Birth Experience Among Multiparous Women
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