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P O S I T I O N S  F O R  C O M F O R T




                                                                               Evidence on upright birth
                                                                                  ●    Available space in the pelvis can be increased by
                                                                                       28-30%
                                                                                  ●    Contractions can be more effective
                                                                                  ●    23% less likely to need medical intervention
                                                                                  ●    Baby is 54% less likely to become distressed
                                                                                  ●    Shorter labour
                                                                                  ●    29% reduction in possibility of C-section required
                                                                                  ●    21% reduction in episiotomy rates

                                                                                  ●    Reduced need for epidural analgesia
                                                                               https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003934.pub4/full











                                                                                                                  Lying on back









                                                                                     UFO
                                                                                     Upwards open forward
                                                                                                                                            48
      2015 Care Quality Commission survey of Women’s experiences of maternity care found:
      •   Around 83% women still give birth on a bed. - Bed can be useful – can be adjusted, useful tool.
      •   35% of those were in stirrups (lithotomy position), still very common position.
      •   NICE guidance CG190: women should be as active as possible during labour.
      •   Just because bed is there – don’t need to assume role of patient.
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