Effect of Hands and Knees position versus lateral Position on Progress of Labor

Shalaby Awad Mahmoud, Nehal; Saied Ibrahim Ali, Heba; Hamed Mohamed Elbastawesy, Hala

doi:10.21608/ejhc.2025.465534

Effect of Hands and Knees position versus lateral Position on Progress of Labor

Authors

¹ Lecturer of Obstetrics & Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt

² Lecturer, Obstetrics & Gynecologic Nursing, Faculty of Nursing, Damanhur University, Egypt.

10.21608/ejhc.2025.465534

Abstract

Background: Changing positions during labor has paramount importance as it enhances maternal outcomes, stimulates uterine contractions, and facilitates the natural progression of labor. Aim: to examine the effect of hands and knees position versus lateral position on progress of labor. Research design: A quasi-experimental design was adopted. Setting: This study was conducted at the labor and delivery unit of the National Medical Institute in Damanhour, El-Beheira Governorate, Egypt. Subjects: A convenient sample of 80 parturient women was selected based on specific inclusion criteria. Tools: Two tools were used, a structured interview questionnaire and a partograph. Results: There existed a statistically significant difference between the two groups from the third to the sixth hour concerning the frequency, duration, interval, and intensity of uterine contractions, alongside cervical effacement and dilatation. Furthermore, a highly statistically significant difference was identified between the two groups pertaining to the mean duration of the first, second, and third stages of labor. Conclusion: The findings concluded that parturient women who assume the hands and knees position experienced faster labor progress compared to those who assume the lateral position. Recommendation: It is suggested to raise awareness of women regarding the benefits of the hands and knees position to facilitate delivery.

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