الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Prolonged labor may lead to increased maternal and neonatal mortality and morbidity due to increased risks of maternal exhaustion, postpartum hemorrhage, sepsis, fetal distress and asphyxia. It requires early detection and appropriate nursing interventions. There are many interventions to increase the uterine contractions and decrease the duration of first stage of labor like giving medicines as oxytocin or buscopan etc., amniotomy and maintaining upright positions and mobility which includes walking, sitting, standing, kneeling and squatting. Evidence based studies shows that maintaining upright positions and mobility in first stage of labor increases the uterine contractions and decrease the duration of first stage of labor. Aim of this study: This study aimed to compare maternal upright versus recumbent position during first stage of labour on labour outcomes. Methods : A quasi-experimental research design was used to carry out the present study at the Labor and Delivery room of Mansoura University Hospital, on a purposive sample of 134 parturient primipara who were admitted the Labor and delivery room; in early active phase of 1st stage of labor. The sample was divided into two groups; the study group (n= 67): assumed one of the upright positions during the first stage of labor, defined as walking and upright non-walking (i.e., sitting, standing, kneeling, squatting), and the control group (n= 67) : assumed one of the recumbent positions during the same labor stage (i.e., supine, semi-recumbent, lateral position). Results: Parturient women who were assumed the upright positions during the first stage of labour had shorter duration of 1st stage of labour, low caesarean birth rate and level of pain and were more satisfied with this position compared to those assumed the recumbent position (p = <0.001). Conclusion : Assuming upright position was an effective intervention in reducing duration of first stage of labour, rate of caesarean section and labour pain and improved parturients’ satisfaction with assumed position