The prevalence of uterine fundal pressure during the second stage of labour for women giving birth in health facilities: a systematic review and meta-analysis

Reproductive Health

卷:18

Meghan A. Bohren¹  Laura Phung²  Caroline S. E. Homer²  Joshua P. Vogel²  Mairead Connolly²  Elise Farrington²  Liz Comrie-Thomson²  Alyce N. Wilson² 

[1] Gender and Women’s Health Unit, School of Population and Global Health, Centre for Health Equity, The University of Melbourne;

[2] Maternal, Child and Adolescent Health Program, Burnet Institute;

关键词: Fundal pressure;    Intrapartum care;    Kristeller maneuver;    Labour and childbirth;    Mistreatment during childbirth;    Quality of care;   

DOI  :  10.1186/s12978-021-01148-1

来源: DOAJ

【 摘 要 】

Plain Language Summary Uterine fundal pressure involves a health worker pushing on the uppermost part of a woman’s abdomen during the pushing phase of labour, with the aim of assisting or accelerating vaginal birth. The World Health Organization and other bodies specifically recommend against the use of fundal pressure, as it is not beneficial and is potentially harmful to women. This study undertook a review to determine how often fundal pressure is used on women giving birth in hospitals around the world. We searched five databases and found 76 studies from 22 countries. We determined that 23.2% of women experience some form of fundal pressure during the pushing phase of labour. Results between studies varied widely, ranging from 0.6% to 69.2% of women experiencing some form of fundal pressure. This may be due to different study populations, or different methods of assessing or documenting fundal pressure use. It may also reflect differences in clinical practice or guidelines. Despite these differences, our findings indicate uterine fundal pressure is still widespread and efforts to prevent this potentially unnecessary and harmful practice are needed.

【 授权许可】

Unknown