Cochrane Database Syst Rev May 2017 PMID 28539008

Position in the second stage of labour for women without epidural anaesthesia.

Janesh K Gupta, Akanksha Sood, G Justus Hofmeyr, Joshua P Vogel

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Mentions

68
Peak: 10 in Jan 2020
across 5 sources since Jan 2020

Extended reach

118,094
potential audience

Total likes

348

Video views

18,350

Mentions per month

Jan 2020 – Oct 2025

Where it's discussed

  • News36 articles
  • X / Twitter15 posts
  • Facebook11 posts
  • YouTube3 videos
  • Blogs3 articles

AI synopsis

What people are saying

The discussions demonstrate active engagement by referencing multiple studies and highlighting both potential benefits of upright positions, like facilitating labor progress, and risks, such as narrowing the pelvis. Words like 'support,' 'caution,' and references to evidence quality reflect a nuanced tone that underscores the significance of ongoing research and cautious interpretation.

AgreementModerate agreement

Most discussions recognize the potential benefits of upright birthing positions, reflecting general support for the findings, though some highlight limitations and weak evidence.

InterestHigh interest

The topics evoke high interest, with many groups debating methods, safety, and implications for mothers and babies.

EngagementHigh engagement

Discussion depth is high, including references to specific studies, interpretations of findings, and implications for practice, indicating active engagement.

ImpactModerate impact

While some emphasize the importance of the research, the overall impact is moderate as debates focus on cautious interpretation rather than definitive changes.

Abstract in brief

  • This review examines whether different birthing positions during the second stage of labor (like sitting, squatting, or lying down) have benefits or risks for mothers, babies, and caregivers, especially for women without epidural anesthesia.
  • The analysis includes data from 32 studies involving over 9,000 women, comparing upright positions to the traditional lying down (supine) position, with findings suggesting upright positions may shorten the second stage of labor.
  • However, the authors advise caution in interpreting these results due to variability in study quality and potential biases, highlighting the need for more high-quality research to draw definitive conclusions.

Top posts

Most liked on X and Bluesky
Neel Shah, MD
@neel_shah · X

@HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WRAglobal @DaraluzBC @sheena_byrom @hannahdahlen @kanelow @GingerBreedlove @CTurlington @robyncnm @writingblock @EmilyBobrow 6/ Remaining upright also appears to facilitate labor progress and, aided by gravity, descent of the baby in the birth canal. By contrast, MRI studies suggest that on-the-back positioning may significantly narrow the baby’s pathway through the pelvis: https://t.co/8Da4Kg1kWC

Jan 10, 2020 · 30 likes · 9 shares · 16,521 followers View post →
Dr Ruth Ann Harpur
@drruthannharpur · X

@corararo @MaternityWX @WeImproveBH @NHSBartsHealth @felcasca @RosieDoman @debbie50308613 @s_taleblou Yes! There are a few relevant cochrane that would not support the claims made by this poster... https://t.co/zbVi7KibXB https://t.co/McwVzFOeMv

Feb 4, 2020 · 1 like · 8,005 followers View post →
Cochrane First Aid
@Cochrane_FA · X

Giving #birth in an upright #position or lying on the back or side: what are the possible benefits and risks to the #mother and #baby?

Mar 12, 2020 · 1 like · 709 followers View post →
sheena_byrom
@sheena_byrom · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 11, 2020 · 9 shares · 26,927 followers View post →
Ayako Shibata@ウィメンズヘルス本発売中
@ayako700 · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 12, 2020 · 9 shares · 12,673 followers View post →
Ariadne Labs
@AriadneLabs · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 10, 2020 · 9 shares · 8,665 followers View post →

All mentions

kj
@kj62824378 · X

@DrORANGE1970 時代が移れば…が気になって興味本位で調べちゃったんですが、分娩台を使わない、臍帯は遅らせて切断っていうの、トンデモではないけどリスクもあるから大病院のフォロー必須だよって理解で良いんでしょうか? https://t.co/1KOsOP3pGp https://t.co/kmy2JDjKGd 的外れでしたらすみません

Oct 3, 2025 · 139 followers View post →
Rana ve 9 diğer travma
@kizginimcok · X

@trulyyourstan ama kanamanın daha çok görüldüğünü söylemekte. Bu veriler kesinlik sağlamamakla beraber çalışmada da dedikleri gibi kadınlar nasıl rahatlarsa öyle doğurmalı. merak edenler için doi numaralarını bırakıyorum 10.1002/14651858.CD002006.pub4. 10.1016/j.ejogrb.2020.09.015.

Jun 30, 2024 · 344 followers View post →
Dr Ruth Ann Harpur
@drruthannharpur · X

@Sunnydownlane @jenniferxo20 The evidence re position in labour is not great https://t.co/McwVzFOeMv Any possible small benefits (the trials are methodologically weak) may be outweighed by increase risk of blood loss. Careful!

Aug 24, 2021 · 8,005 followers View post →
Cochrane First Aid
@Cochrane_FA · X

Giving #birth in an upright #position or lying on the back or side: what are the possible benefits and risks to the #mother and #baby?

Mar 12, 2020 · 1 like · 709 followers View post →
Dr Ruth Ann Harpur
@drruthannharpur · X

@corararo @MaternityWX @WeImproveBH @NHSBartsHealth @felcasca @RosieDoman @debbie50308613 @s_taleblou Yes! There are a few relevant cochrane that would not support the claims made by this poster... https://t.co/zbVi7KibXB https://t.co/McwVzFOeMv

Feb 4, 2020 · 1 like · 8,005 followers View post →
Amaliya
@vasynaJUNE · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 14, 2020 · 9 shares · 581 followers View post →
Ayako Shibata@ウィメンズヘルス本発売中
@ayako700 · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 12, 2020 · 9 shares · 12,673 followers View post →
Nomathamsanqa
@TamTamsWorld · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 11, 2020 · 9 shares · 2,110 followers View post →
sheena_byrom
@sheena_byrom · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 11, 2020 · 9 shares · 26,927 followers View post →
Catherine Williams
@birthandbiology · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 11, 2020 · 9 shares · 2,913 followers View post →
Helen Gray
@HelenGrayIBCLC · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 11, 2020 · 9 shares · 3,318 followers View post →
Jennifer Block
@writingblock · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 10, 2020 · 9 shares · 6,078 followers View post →
Liz May
@lizmayessex · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 10, 2020 · 9 shares · 2,578 followers View post →
Ariadne Labs
@AriadneLabs · X

RT @neel_shah: @HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WR…

Jan 10, 2020 · 9 shares · 8,665 followers View post →
Neel Shah, MD
@neel_shah · X

@HarvardChanSPH @AriadneLabs @ExpectMore @MarchForMoms @MHTF @world_midwives @ACNMmidwives @birthcenters @everymomcounts @WRAglobal @DaraluzBC @sheena_byrom @hannahdahlen @kanelow @GingerBreedlove @CTurlington @robyncnm @writingblock @EmilyBobrow 6/ Remaining upright also appears to facilitate labor progress and, aided by gravity, descent of the baby in the birth canal. By contrast, MRI studies suggest that on-the-back positioning may significantly narrow the baby’s pathway through the pelvis: https://t.co/8Da4Kg1kWC

Jan 10, 2020 · 30 likes · 9 shares · 16,521 followers View post →