Effect of Flexible Sacrum Position on Maternal and Neonatal Outcomes in Public Health Facilities, Amhara Regional State, Ethiopia: A Quasi-Experimental Study

Marta Berta Badi (), Solomon Mekonnen Abebe, Mulat Adefris Weldetsadic, Kyllike Christensson and Helena Lindgren
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Marta Berta Badi: Department of Women’s and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar 6200, Ethiopia
Solomon Mekonnen Abebe: Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar 6200, Ethiopia
Mulat Adefris Weldetsadic: Department of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar 6200, Ethiopia
Kyllike Christensson: Department of Women’s and Children’s Health, Karolinska Institute, 17164 Stockholm, Sweden
Helena Lindgren: Department of Women’s and Children’s Health, Karolinska Institute, 17164 Stockholm, Sweden

IJERPH, 2022, vol. 19, issue 15, 1-14

Abstract: Restricting women giving birth in health care facilities from choosing the most comfortable position during labor and birth is a global problem. This study was aimed to examine the effect of flexible sacrum birth positions on maternal and neonatal outcomes in public health facilities in Ethiopia’s Amhara Region. A non-equivalent control group post-test-only design was employed at public health facilities from August to November 2019. A total of 1048 participants were enrolled and assigned to intervention or control groups based on their choice of birth position. Participants who preferred the flexible sacrum birth position received the intervention, while participants who preferred the supine birth position were placed in the control group. Data were collected using observational follow-up from admission to immediate postpartum period. Log binomial logistic regression considering as treated analysis was used. Of the total participants, 970 women gave birth vaginally, of whom 378 were from the intervention group, and 592 were from the control group. The intervention decreased the chance of perineal tear and poor Apgar score by 43 and 39%, respectively. The flexible sacrum position reduced the duration of the second stage of labor by a mean difference of 26 min. Maternal and newborn outcomes were better in the flexible sacrum position.

Keywords: Ethiopia; flexible sacrum position; supine position; maternal outcome; neonatal outcome (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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