NURSING, MATERNAL POSTURES, FETAL POSITION/PRESENTATION

本研究的目的是（1）确定是否安全，简单， 经济程序，即母亲的姿态将导致旋转 （2）胎儿从后位到最佳前位; 以确定产前母亲的姿势是否会导致胎儿 在分娩开始时处于前位;（3）评估相对 一系列产妇体位对促进前额叶功能的有效性 在怀孕和分娩期间轮换;（4）确定是否有一种方法 在换臀位时，母亲的姿势比另一种姿势更成功 最佳的头先露 健康孕妇 被随机分配到治疗和控制姿势。 治疗 在十分钟的时间内保持姿势。 改变姿势 错位是手和膝盖手和膝盖加上骨盆岩石;手和 膝加腹抚;手和膝加骨盆石加 腹部抚摸 在控制姿势中，受试者直立坐着 坐在直椅子上。 改变臀先露的姿势是膝 胸部和臀部抬高9-12英寸。 利奥波德的策略是用来 确定胎儿位置。 这项研究是在助产士中进行的 服务 认证的护士-助产士监测治疗姿势， 测量因变量（胎儿旋转）。

The objectives of this study are (1) to determine if a safe, simple and economic procedure, namely, maternal posturing wil result in the rotation of a fetus in the posterior position to the optimal anterior position; (2) to determine if prenatal maternal posturing will result in the fetus being in an anterior position when labor begins; (3) to evaluate the relative effectiveness of a series of maternal postures for facilitating anterior rotation during pregnancy and labor; and (4) to determine if one method of maternal posturing is more successful than another in changing a breech presentation to the optimal cephalic presentation. Healthy pregnant women are randomly assigned to treatment and control postures. Treatment postures are assumed for ten minute periods. postures for changing a malposition are hands and knees hand and knees plus pelvic rock; hand and knees plus abdominal stroking; hand and knees plus pelvic rock plus abdominal stroking. In the control posture the subject is seated upright on a straight chair. postures for changing a breech presentation are knee chest and hips elevated 9-12 inches. Leopold's Maneuvers are used to determine fetal position. The study is carried out in nurse-midwifery services. Certified nurse-midwives monitor the treatment postures and measure the dependent variable (fetal rotation).