Does delivery position affect the frequency or severity of perineal lacerations?
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Does delivery position affect the frequency or severity of perineal lacerations? Evidence-Based Answer: There is no significant difference between upright and recumbent position during the second stage of labor on the incidence of third and fourth degree perineal lacerations, but the incidence of second-degree lacerations is increased in women delivering in upright positions (SOR: A, meta-analysis). Among women with an epidural, there is no difference between upright or recumbent position in the incidence of any perineal laceration requiring suturing (SOR: A, meta-analysis). Delivering with or without stirrups does not affect the incidence or severity of perineal lacerations (SOR: B, single RCT).
Evidence-based practice 19, no. 8 (2016): E-5