Effectiveness of ambulation versus semi fowlers position in primi para mothers

Abstract

Background: Ambulation during labor pertains to the act of moving about during the early and active stages of labor, which diminishes the duration a woman remains in a supine position throughout these phases. The semi-Fowler's position during the first stage of labor offers several practical benefits for the healthcare provider. The choice of position by the mother for labor and delivery holds significant importance.Aim: This study aims to evaluate the effectiveness of ambulation in comparison to the semi-Fowler's position on maternal outcomes among mothers.Methods and Materials: A quantitative research methodology employing a quasi-experimental post-test-only design was adopted for this investigation. The research was conducted at Index Hospital in Indore. Utilizing a purposive sampling technique, 60 primiparous mothers were selected for participation. A self-structured questionnaire was administered to gather demographic information, while a modified WHO partograph was employed to evaluate maternal outcomes. Both groups received the intervention. Data collection was performed using descriptive and inferential statistical methods.Results: In the ambulation group, the average labor duration was recorded at 9 hours and 9 minutes, with uterine contractions averaging 89.4 seconds in intensity. Conversely, in the semi-Fowler's position, the average duration of uterine contractions was noted to be 51.5 seconds. The findings indicate that ambulation was more effective than the semi-Fowler's position in enhancing maternal outcomes.Conclusion: The results of the study reveal a significant difference in maternal outcomes following the intervention.