Amaç: Doğumun 1. evresinde rutin epidural analjezi almayan annelere uygulanan

Objective: To assess the effect of the upright positions on childbirth typesin woman who did not receive routine epidural analgesia during the firststage of laborMethods: In this meta-analysis, articles, master’s theses, and PhD thesespublished between 1970 and 2015 in 10 databases were reviewed for keywordsand inclusion criteria. The bias risks of the studies were assessedaccording to Cochrane Handbook for Systematic Reviews of Interventions,and the overall effect size analysis, heterogeneity tests, and sensitivity analysiswere performed with the publication bias, risk ratio effect size, and randomeffects model.Results: The criteria for the meta-analysis were met by 13 interventionstudies (n=2441). According to the random effect model, the overall effectsize of vaginal birth was 1.035 (95% CI=0.961–1.115), that of instrumentalvaginal birth was 0.871 (95% CI=0.591–1.285), and that of cesarean birthwas 0.625 (95% CI=0.416–0.940). After sensitivity analysis, it revealed thatthe risk ratio for the cesarean delivery rate was statistically insignificantwith 0.602 (95% CI=0.319–1.134), but effect size and the heterogeneity ofcesarean delivery effect size were wider.Conclusion: In women who did not receive routine epidural analgesia atthe first stage of labor, the effect of the upright position on vaginal and instrumentalvaginal births was insignificant; however, the rate of cesareandelivery was less in the upright position. This study should be repeated in theclinical setting with an appropriately designed experimental framework. Themethodology of the research subject should be conducted in an appropriatelydesigned experimental work. Women should be encouraged to use theupright position while giving birth because the absence of any harm in theupright position is important in reducing the rate of cesarean birth, but theindividual factors of the positions should be taken into consideration