Positions during the first stage and the passive second stage of labor: A survey of French midwives

Abstract : Objective: the objective of our study was to describe the practices reported by French midwives during labor (first stage and passive phase of the second stage). Design: this cross-sectional internet questionnaire surveyed French midwives who attended at least one delivery in 2013. Setting: this open survey was posted on a website from June 15 through December 1, 2014. Participants: 1496 midwives from 377 maternity units participated in the study. Nearly 93% of the midwives worked in an obstetric unit, 5.9% had a mixed practice, and 1.3% worked in private practice. Measurements and findings: during the first stage of labor, midwives reported suggesting that women without epidural analgesia use a birthing ball (98.1%) and that they walk around (97.4%). For women with epidural analgesia, most suggested motion in horizontal positions. Epidural analgesia was proposed more often by midwives from level II (75.7%) and level III (73.5%) maternity wards than by those at level 1 units (57.7%) (p<0.0001). The midwives preferred a lateral position during the first stage for women with epidural analgesia and during the second stage for women both with and without it. Midwives in practice for 5 years or less suggested a kneeling position for women with epidural analgesia more often than more experienced midwives. Key conclusion: the practices of French midwives vary with their place of practice and their experience. Implications for practice: to promote normal labor, French midwives must reappropriate vertical positions and analgesic alternatives to epidurals.
Type de document :
Article dans une revue
Midwifery, Elsevier, 2018, 56, pp.79-85. 〈10.1016/j.midw.2017.10.010〉
Liste complète des métadonnées

Littérature citée [30 références]  Voir  Masquer  Télécharger

Contributeur : Chloé Barasinski <>
Soumis le : jeudi 30 novembre 2017 - 17:08:33
Dernière modification le : mardi 9 octobre 2018 - 16:02:04


Article enquete SFn1_HAL.pdf
Fichiers produits par l'(les) auteur(s)



Chloé Barasinski, Anne Debost-Legrand, Didier Lemery, Françoise Vendittelli. Positions during the first stage and the passive second stage of labor: A survey of French midwives. Midwifery, Elsevier, 2018, 56, pp.79-85. 〈10.1016/j.midw.2017.10.010〉. 〈hal-01652817〉



Consultations de la notice


Téléchargements de fichiers