Hands-and-Knees Positioning During Labor With Epidural Analgesia

  1. Robyn Stremler1,
  2. Stephen Halpern2,
  3. Julie Weston3,
  4. Jennifer Yee4,
  5. Ellen Hodnett5

Article first published online: 8 JUL 2009

DOI: 10.1111/j.1552-6909.2009.01038.x

Issue

Journal of Obstetric, Gynecologic, & Neonatal Nursing

Journal of Obstetric, Gynecologic, & Neonatal Nursing

Volume 38, Issue 4, pages 391–398, July/August 2009

Additional Information

How to Cite

Stremler, R., Halpern, S., Weston, J., Yee, J. and Hodnett, E. (2009), Hands-and-Knees Positioning During Labor With Epidural Analgesia. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 38: 391–398. doi: 10.1111/j.1552-6909.2009.01038.x

Author Information

  1. 1

    RN, PhD, is an assistant professor at the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.

  2. 2

    MD, MSc, is a professor in the Department of Anesthesia, Sunnybrook Health Sciences Centre and University of Toronto, Toronto, ON, Canada.

  3. 3

    RN, MSc, is senior research coordinator at the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.

  4. 4

    RN, MSc, is a research nurse in the Department of Anesthesia, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

  5. 5

    RN, PhD is Heather M. Reisman Chair and professor at the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.

*Correspondence Robyn Stremler, RN, PhD, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Room 288, Toronto, ON, M5T 1P8, Canada. robyn.stremler@utoronto.ca

Publication History

  1. Issue published online: 8 JUL 2009
  2. Article first published online: 8 JUL 2009
  3. Accepted May 2009

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Keywords:

  • Hands-and-knees;
  • labor;
  • position;
  • epidural

ABSTRACT

Hands-and-knees position has shown promise as an intervention to improve labor and birth outcomes, but no reports exist that examine its use with women laboring with epidural analgesia. Concerns of safety, effects on analgesia, and acceptability of use may limit use of active positioning during labor with regional analgesia. This article presents a case study series of 13 women who used hands-and-knees position in the first stage of labor.

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