striving for scientific stringency a re-analysis of a randomised controlled trial considering first-time mothers’ obstetric outcomes in relation to birth position追求科学严格的随机对照试验的有关考虑第一次母亲的产科出生结果与位置.pdfVIP

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striving for scientific stringency a re-analysis of a randomised controlled trial considering first-time mothers’ obstetric outcomes in relation to birth position追求科学严格的随机对照试验的有关考虑第一次母亲的产科出生结果与位置.pdf

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striving for scientific stringency a re-analysis of a randomised controlled trial considering first-time mothers’ obstetric outcomes in relation to birth position追求科学严格的随机对照试验的有关考虑第一次母亲的产科出生结果与位置

Thies-Lagergren et al. BMC Pregnancy and Childbirth 2012, 12:135 /1471-2393/12/135 RESEARCH ARTICLE Open Access Striving for scientific stringency: a re-analysis of a randomised controlled trial considering first-time mothers’ obstetric outcomes in relation to birth position Li Thies-Lagergren1,2, Linda J Kvist2,3*, Kyllike Christensson1 and Ingegerd Hildingsson1,4 Abstract Background: The aim of this study was to compare maternal labour and birth outcomes between women who gave birth on a birth seat or in any other position for vaginal birth and further, to study the relationship between synthetic oxytocin augmentation and maternal blood loss, in a stratified sample. Methods: A re-analysis of a randomized controlled trial in Sweden. An on-treatment analysis was used to study obstetrical outcomes for nulliparous women who gave birth on a birth seat (birth seat group) compared to birth in any other position for vaginal birth (control group). Data were collected between November 2006 and July 2009. The outcome measurements included perineal outcome, post partum blood loss, epidural analgesia, synthetic oxytocin augmentation and duration of labour. Results: The major findings of this paper were that women giving birth on the birth seat had shorter duration of labour and were significantly less likely to receive synthetic oxytocin for augmentation in the second stage of labour. Significantly more women had an increased blood loss when giving birth on the birth seat, but had no difference in perineal outcomes. Blood loss was increased regardless of birth position if women had been exposed to synthetic oxytocin augmentation during the first stage of labour. Conclusions: The results of this analysis imply that women with a straightforward birth process may well benefit from giving birth on a birth seat without risk f