|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Posture Exercises Do Not Influence Rotation of the OcciputFrom: ainsron (ainsron@sbcglobal.net)Fri Feb 27 12:32:34 2004
The midwives I've worked with always felt it helped, I've never been impressed with rotational exercises for OP or breech. Just my bias. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art fougner, md Sent: Friday, February 27, 2004 5:28 AM To: Multiple recipients of list OB-GYN-L Subject: OB: Posture Exercises Do Not Influence Rotation of the Occiput In this weekend's British Medical Journal - art BMJ 2004;328:490 (28 February) Randomised controlled trial of effect of hands and knees posturing on incidence of occiput posterior position at birth Azar Kariminia, research officer1, Marie E Chamberlain, professor of midwifery3, John Keogh, consultant obstetrician and gynaecologist2, Agnes Shea, lecturer3 1 Midwifery Research, Hornsby Hospital, Palmerston Road, Hornsby, NSW 2077, Australia, 2 Department of Obstetrics and Gynaecology, Hornsby Hospital, 3 University of Sydney, Sydney, NSW 2006, Australia Correspondence to: Azar Kariminia, Public Health Unit, Long Bay Complex, Anzac Parade, Malabar, PO Box 150, Matraville, NSW 2036, Australia karimia@chs.health.nsw.gov.au Objective To evaluate the efficacy of hands and knees position and pelvic rocking exercises on the incidence of fetal occiput posterior position at birth. Design Multicentre randomised controlled trial. Setting Seven maternity units in New South Wales, Australia, encompassing teaching hospitals and district general hospitals. Participants 2547 pregnant women at 37 weeks' gestation; 1292 randomised to the intervention group and 1255 to the control group. Intervention Hands and knees position and pelvic rocking exercises from 37 weeks' gestation until the onset of labour. Main outcome measure Incidence of fetal occiput posterior position at birth. Results 1046 women in the intervention group and 1209 women in the control group remained in the study until they went into labour. No significant difference existed between the groups for the incidence of occiput posterior position at birth: 105 (8.1%) women in the intervention group and 98 (7.8%) in the control group had a baby in a posterior position at delivery (difference in risk 0.3%, 95% confidence interval -1.8 to 2.4). The incidence of fetal transverse arrest was 3.4% (44 women) in the intervention group and 3.0% (38 women) in the control group (difference in risk 0.4, -1 to 1.7). No differences occurred between intervention and control groups for induction of labour, use of epidural, duration of labour, mode of delivery, use of episiotomy, or Apgar score. Conclusion Hands and knees exercise with pelvic rocking from 37 weeks' gestation to the onset of labour did not reduce the incidence of persistent occiput posterior position at birth.
-- art fougner, md ich bin ein New Yorker
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:36:47 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.