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Position and pain relief. (Pregnancy & Birth).


Many studies have been done to determine if the position of a laboring mother reduces labor pain. However, most data have been inconclusive. Researchers recently attempted to determine if maternal position reduced the intensity of labor pain during dilatation dilatation /dil·a·ta·tion/ (dil?ah-ta´shun)
1. the condition, as of an orifice or tubular structure, of being dilated or stretched beyond normal dimensions.

2. the act of dilating or stretching.
 from six to eight centimeters.

Laboring women's pain intensity was measured using the visual analogue scale (VAS vas (vas) pl. va´ sa  [L.] vessel.va´sal

vas aber´rans 
1. a blind tubule sometimes connected with the epididymis; a vestigial mesonephric tubule.

2.
). Participants included thirty-nine primiparous pri·mip·a·ra  
n. pl. pri·mip·a·ras or pri·mip·a·rae
1. A woman who is pregnant for the first time.

2. A woman who has given birth to only one child.
 and nineteen multiparous mul·tip·a·rous
adj.
1. Relating to a multipara.

2. Giving birth to more than one offspring at a time.
 women. They alternated sitting and supine positions for fifteen minutes during cervical dilatation from six to eight centimeters.

The pain scores for the sitting position were significantly lower than those for the supine position. The test measured the VAS scores for the (a) total labor pain ("total" meaning both abdominal and lumbar pain Noun 1. lumbar pain - backache affecting the lumbar region or lower back; can be caused by muscle strain or arthritis or vascular insufficiency or a ruptured intervertebral disc
lumbago

backache - an ache localized in the back
) during contraction, (b) continuous total labor pain, (c) lumbar pain during contraction, and (d) continuous lumbar pain in the sitting position (which was significantly lower than in supine position). The largest decrease occurred in lower back pain. No significant differences were found for abdominal pain scores in either the sitting or supine positions.

The sitting position offers an effective method to relieve lower back labor back labor Obstetrics A popular term for the location–ie, the lower back, of pain and discomfort due to uterine contractions, which most commonly occurs with posterior presentation. See Labor.  pain during cervical dilatation from six to eight centimeters. Women who reported pain only on contraction as well as those with continuous pain reported similar relief.

--Nursing Research, Jan.-Feb. 2003
COPYRIGHT 2003 Association of Labor Assistants & Childbirth Educators
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2003, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Title Annotation:sitting position relieves lower back pain during labor
Publication:Special Delivery
Article Type:Brief Article
Geographic Code:1USA
Date:Jun 22, 2003
Words:212
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