The study's findings, published in the Cochrane Library, drew from 21 studies conducted in developed countries during the 1960s, involving 3,706 women. Researchers discovered that women who adopted standing or sitting positions during the first stage of labor spent approximately one hour less than those lying down, experienced reduced pain, and had lower rates of assisted delivery or cesarean section.
Researchers indicated that maintaining a standing position or walking during the first stage of labor offers benefits without risks, whereas the commonly adopted supine position may actually be detrimental. Gravity's influence means an upright angle is easiest for both mother and baby.Standing not only aligns the baby's head with the cervix—facilitating cervical dilation and vaginal delivery—but also enhances blood flow to the baby and placenta, reducing fetal distress. Additionally, the upright position maximizes pelvic space and allows slight pelvic joint flexion, creating more room for the baby to maneuver.
Previous studies also indicate that women delivering in a standing position are less likely to require epidural anesthesia and experience reduced rates of uterine infection.
Dr. Lawrence of Townsville Hospital (Queensland, Australia) stated: "Based on these findings, we advise women to adopt whatever birthing position feels most comfortable, while specifically recommending against lying down."Dr. Maggie Blott, an obstetrician-gynecologist consultant at the Royal College of Obstetricians and Gynaecologists, emphasized: "We strongly encourage women to walk around during labor to reduce risks. Modern practice does not recommend lying flat during the first stage of labor."