Maternal semi sitting versus lithotomy position during second stage of labor on maternal outcomes

Aim of this study was to compare the effect of maternal semi sitting versus lithotomy position during second stage of labor on maternal outcomes. Subjects and method: A quasi-experimental study was conducted at the Labor and Delivery Room of Mansoura University Hospital, on a purposive sample of 96 parturient women in active labor; 48 assigned to study group by assuming the semi sitting position during second stage of labor, while the control group (n=48) adopted the conventional lithotomy position. Data were collected using three tools; a structured interview questionnaire, Visual Analogue Scale for pain and satisfaction with the assumed position scale. Results: The intervention group had more efficient contractions, shorter 2nd stage duration, less perineal lacerations, lower labor pain scores and higher satisfaction scores compared to those of the control group. Conclusion and recommendations: Positioning of parturient women in semi sitting position had a positive impact on maternal outcomes and woman’s satisfaction with the care provided. Accordingly, semi sitting position would be an integral part of the nursing care during second stage of labor.