The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Feb 1985
Comparative Study Clinical Trial Controlled Clinical TrialThe birthing chair in the second stage of labour.
A prospective study of 56 primigravidas was performed to assess the advantages, disadvantages and acceptability of the upright posture during the second stage of labour. Twenty-seven patients laboured in the second stage in a birthing chair, in an upright position. ⋯ No differences were detected in the condition of the neonates between the 2 groups. This birthing chair was found to be an acceptable mode of delivery to most of those patients using it.
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A retrospective analysis was made of 456 patients who had previously undergone Caesarean section and who were considered suitable for a trial of labour. Sixty percent of patients had a vaginal delivery. Patients with obstructed labour or failure to progress as the indication for primary Caesarean section were significantly more likely to require a repeat operation but 44% of these patients still achieved a vaginal delivery. ⋯ Intravenous oxytocin was used in 17% of patients. No uterine rupture occurred and no fetal mortality resulted directly due to the trial of labour. Trial of labour following Caesarean section is a safe procedure when conducted in an appropriate hospital setting.