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Optimising Labour Outcomes: The Impact of the Semi-Fowler’s Position on Labour Duration and Maternal-Neonatal Outcomes in Primigravida Mothers

Year: 2026

Type: article

Abstract: Objectives Maternal positioning during labour can significantly affect the birthing process and outcomes. The semi-Fowler’s position, in particular, is favoured for its comfort and its potential to reduce interventions. This study assesses maternal and neonatal outcomes following Semi Fowler’s positioning and identifies associations between demographic variables and labour outcomes. Material and Methods A Quasi- experimental was employed with 100 primigravida mothers in hospitals of Kheda-Anand district, Gujarat, India. Data were collected using a demographic interview schedule, the WHO (World Health Organization) partograph, and APGAR (activity, pulse, grimace, activity, and respiration) scores. Participants were encouraged to maintain the semi-Fowler’s position for 20 minutes at a time, repeated six times until full cervical dilation. Statistical analysis included chi-square tests, t tests. Results The semi-Fowler’s position significantly reduced the duration of the first stage of labour ( p = 0.031), improved cervical dilation rates, and increased the intensity of uterine contractions. Significant associations were observed between food patterns, gestational age, BMI, and labour outcomes ( p <0.05). Conclusion The semi-Fowler’s position substantially improves labour outcomes in primigravida mothers, reducing labour duration and enhancing cervical dilation and contractions.

Source: Journal of Health and Allied Sciences NU

DOI: 10.25259/jhs-2024-9-27-r1-(1589)

Authors: Neha N Parmar, Jagdish T Gohil

Institution: Parul University

Language: English

Topic: Maternal and Perinatal Health Interventions

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Decent work and economic growth

Open Access status: hybrid

OpenAlex ID: W7128056233