The updated review included three studies, comprising 2,794 mothers. One study focused on using this position during labour and the other two measured outcomes using the position twice a day for ten minutes after the 37th week of pregnancy. Reviewers measured study outcomes in terms of the change in foetal position, foetal position during labour and at delivery, duration of labour, pain scores, amount of analgesia used, method of delivery, perinatal outcomes and maternal satisfaction.
While the position seemed to provide relief from backache and possibly helped babies shift during labour, engaging in the posture for ten-minute intervals in the final weeks of pregnancy had no benefit on the outcome of labour and did not significantly seem to help shift the position of the foetus. In the study that focused on labour, the women who tried the hands-and-knees posture for 30-minute intervals experienced a significant reduction in persistent back pain. The study focusing on labour did not confirm with any certainty that the position is effective in changing the baby’s position.
“There were more babies in the hands-and-knees group that changed position than in the control group, but the difference was not significantly different,” G. Justus Hofmeyr said, a professor with the Effective Care Research Unit at the University of Witwatersrand in South Africa. “While there was not yet enough evidence to recommend the posture as a method for correcting the baby’s position, it may certainly be recommended for women who find that it is more comfortable, particularly for relieving back pain.”
MEDICA.de; Source: Health Behavior News Service