Abstract
Optimal maternal positioning for fetal descent is achieved by creating positions where the mother is upright, has her upper leg as far as possible away from her lower leg (increasing the transverse diameter of the pelvis) and free space to allow the sacrum and coccyx to move back (increasing the anterior-posterior diameter of the pelvis) (Zwelling, 2010). Zwelling also states that maternal movement and position changes during labour assist with the progression of labour. However, upright positions and maternal mobility can be a problem for many women experiencing obstetric interventions such as an epidural.
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