ArticleBioMed research international2014
Women's choice of positions during labour: return to the past or a modern way to give birth? A cohort study in Italy.
Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07363109 (Prevention of Hypotension During Elective Cesarean Section Under Spinal Anaesthesia With Fixed-rate Metaraminol Infusion Versus Fixed-rate Norepinephrine Infusion), which is not on this map. Cited by 25 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Prevention of Hypotension During Elective Cesarean Section Under Spinal Anaesthesia With Fixed-rate Metaraminol Infusion Versus Fixed-rate Norepinephrine Infusion: A Double-blind Randomised Controlled Clinical Trial.
Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Efficacy of birthing ball exercises to reduce labor pain and cesarean rates: an updated meta-analysis of randomized controlled trials.Archives of gynecology and obstetrics · 2025Pooled it
- Effect of maternal birth positions on duration of second stage of labor: systematic review and meta-analysis.BMC pregnancy and childbirth · 2019Pooled it
- Pooled it
- Pooled it
- Randomized controlled trial on the effect of the peanut ball devices on the duration of active labor, labor pain and comfort.BMC pregnancy and childbirth · 2026Trial
- Intrapartum sonographic evaluation of fetal head descent in relation to maternal position: comparison between dorsal lithotomy and kneeling squat positions.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026Article
- Dynamic birth position, awareness and practice by midwives in Ethiopia: a parallel mixed-methods study.BMC pregnancy and childbirth · 2025Article
- Spinning BabiesEuropean journal of midwifery · 2025Article
- Perinatal Outcomes and Level of Labour Difficulty in Deliveries with Right and Left Foetal Position-A Preliminary Study.Healthcare (Basel, Switzerland) · 2024Article
- The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia.Sensors (Basel, Switzerland) · 2024Article
- Effect of acupressure on childbirth outcomes in nulliparous women: A randomized clinical trial.Journal of education and health promotion · 2024Article
- Impact of maternal posture on fetal physiology in human pregnancy: a narrative review.Frontiers in physiology · 2024Review
- Effect of supported sitting position during second stage of labor on its outcome in primigravidae: A quasi-experimental study.Journal of family medicine and primary care · 2023Article
- The Impact of Maternal Position in Labor on Occiput-Posterior Position of Fetus and Pregnancy Outcomes in Pregnant Women Without Epidural Analgesia.Journal of family & reproductive health · 2023Article
- Use and Effects of Augmentation of Labor with Oxytocin: A Single-Center, Retrospective, Case-Control Study of 4350 Women in Warsaw, Poland, 2015-2020.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Effect of Flexible Sacrum Position on Maternal and Neonatal Outcomes in Public Health Facilities, Amhara Regional State, Ethiopia: A Quasi-Experimental Study.International journal of environmental research and public health · 2022Article
- Examining the impact of upright and recumbent positions on labor outcomes in Saudi Arabia: A quasi-experiment.Belitung nursing journal · 2022Article
- Why do women assume a supine position when giving birth? The perceptions and experiences of postnatal mothers and nurse-midwives in Tanzania.BMC pregnancy and childbirth · 2020Article
- A review and comparison of common maternal positions during the second-stage of labor.International journal of nursing sciences · 2019Review
- Factors hindering midwives' utilisation of alternative birth positions during labour in a selected public hospital.African journal of primary health care & family medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChildbirth medicalization has reduced the parturient's opportunity to labour and deliver in a spontaneous position, constricting her to assume the recumbent one. The aim of the study was to compare recumbent and alternative positions in terms of labour process, type of delivery, neonatal wellbeing, and intrapartum fetal head rotation.
methodsWe conducted an observational cohort study on women at pregnancy term. Primiparous women with physiological pregnancies and single cephalic fetuses were eligible for the study. We considered data about maternal-general characteristics, labour process, type of delivery, and neonatal wellbeing at birth. Patients were divided into two groups: Group-A if they spent more than 50% of labour in a recumbent position and Group-B when in alternative ones.
results225 women were recruited (69 in Group-A and 156 in Group-B). We found significant differences between the groups in terms of labour length, Numeric Rating Scale score and analgesia request rate, type of delivery, need of episiotomy, and fetal occiput rotation. No differences were found in terms of neonatal outcomes.
conclusionAlternative maternal positioning may positively influence labour process reducing maternal pain, operative vaginal delivery, caesarean section, and episiotomy rate. Women should be encouraged to move and deliver in the most comfortable position.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.