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(no subject) From: ainsron@msn.com Sat Aug 19 09:15:17 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron@msn.com: "(no subject)" Previous message: Paul Prior MD: "Re: OB: Bedrest" In reply to: J. Hellriegel: "Re: OB: Bedrest" Next in thread: ainsron@msn.com: "(no subject)" Objective: To determine the benefits or risks of walking during the first stage of labor in uncomplicated pregnancies. Design/Participants: Prospective, randomized study of uncomplicated gravidas at term who either walked or were placed at bedrest during the labor process. Results: Duration of labor, need for labor augmentation with oxytocin, degree of analgesia, incidence of forceps, and cesarean section deliveries were not significantly different between the walking and nonwalking groups. Labor and delivery outcomes, as well as infant outcomes, were similar in both groups. Conclusions: Walking during the first stage of labor has neither an adverse nor a beneficial effect for either mother or infant. Reviewer's Comments: A nice randomized, prospective study that answers an age-old question: Is walking beneficial either to the mother or the infant during the first state of labor? The answer: It makes no difference, no matter what parameter is studied; therefore, during the first stage of labor, a woman ought to do as she wishes--either walk or remain at bedrest. (Reviewer-Berel Held, MD). Additional Keywords: labor walking Reprints: Univ of Texas Southwestern Med Center; Dept of Obstetrics & Gynecology; 5323 Harry Hines Blvd; Dallas, TX 75235-9032 (Steven L. Bloom, MD). I ain't no genius but it seems >that if we tell patients that "false labor goes away with walking, real >labor doesn't" and if we remember the forces of gravity that limiting >activity and changing gravity's effect from an upright baby on a cervix to a >sideways pressure on the uterus (i.e. lying down) we might, just might, have >a positive influence. > >And another btw, the last ACOG update tape on multiple pregnancy management >does mention that bed rest has a positive effect on multiple gestation and >pre-term delivery. > >I'm really done now > >just my $.02 > >Kevin Dew ob/gyn >Bardstown, KY -- Ronald E. Ainsworth, MD Next message: ainsron@msn.com: "(no subject)" Previous message: Paul Prior MD: "Re: OB: Bedrest" In reply to: J. Hellriegel: "Re: OB: Bedrest" Next in thread: ainsron@msn.com: "(no subject)"

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