Effect of the Position of the Mother during the First
Stage of Labor on Oxygen Saturation of the Mother
(SpO2) and Foetus and on the Blood Pressure of the
Mother
Roztočil A., Miklica J., Kučera M., Ventruba P., Kachlík P.
I. gynekologicko-porodnická klinika, Masarykova univerzita Brno, přednosta prof. MUDr. Pavel Ventruba, DrSc. |
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Summary:
Objective: The aim of the study was to evaluate the impact of maternal body position during the
labour on the a foetal and maternal SpO2 and the maternal blood pressure values.
Typ of Study: Open prospective.
Setting: 1 st Department of Obstetrics and Gynaecology, Medical Faculty, Masaryk University,
Brno, Czech Republic.
Methods: 20 patients were enrolled in the study. They had to meet the following criteria: written
informed consensus, no-risk pregnancy of 39. - 40. weeks, vertex presentation, ruptured mem-
branes. CTG and SpO2 of the mother and the foetus and maternal blood pressure were monitored
simultaneously in 10 min intervals in supine position, left and right side during the 1 st stage of
labour. For foetal SpO2 values registration intrapartum foetal pulse oximeter N-400 was used.
Results: No changes in maternal SpO2, FSpO2 values were revealed in the three body positions
and maternal blood pressure.
Conclusion: In no-risk pregnancies the maternal body position has no impact on foetoplacental
perfusion manifested by the changes in FSpO2. Thus the mother in labour can choose any hori-
zontal body position without risking the disturbances in foetal oxygen supply.
Key words:
oxygen saturation (SpO2), intrapartum foetal pulse oximetry (IFPO), maternal body
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