Positioning During the Second Stage of Labor: Moving Back to Basics

Authors

  • Rebecca H. Shermer RNC, MS,

    Corresponding author
    1. Rebecca H. Shermer is a clinical nurse IV in the Labor and Delivery Department at the Medical College of Virginia Hospitals in Richmond, VA.
      Address for correspondence: Rebecca H. Shermer, RNC, MS, 810 West 29th Street, Richmond, VA 23225.
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  • Deborah A. Raines RNC, PhD

    1. Deborah A. Raines is an assistant professor in the School of Nursing at Virginia Commonwealth University in Richmond.
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Address for correspondence: Rebecca H. Shermer, RNC, MS, 810 West 29th Street, Richmond, VA 23225.

Abstract

The advantages of an upright position during labor are presented, with historic, physiologic, and psychosocial aspects discussed. The influences of modern obstetric practices such as electronic fetal monitoring and anesthesia practices are discussed with findings related to the use of upright positions from the Association of Women's Health, Obstetric, and Neonatal Nursing National Research Utilization Project on Second Stage Labor Management integrated. Recommendations for facilitating upright positions on the labor and delivery unit are presented.

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