Effect of Hands and Knees position versus lateral Position on Progress of Labor

Background: Changing positions during labor has paramount importance as it enhances maternal outcomes, stimulates uterine contractions, and facilitates the natural progression of labor. Aim: to examine the effect of hands and knees position versus lateral position on progress of labor. Research design: A quasi-experimental design was adopted. Setting: This study was conducted at the labor and delivery unit of the National Medical Institute in Damanhour, El-Beheira Governorate, Egypt. Subjects: A convenient sample of 80 parturient women was selected based on specific inclusion criteria. Tools: Two tools were used, a structured interview questionnaire and a partograph. Results: There existed a statistically significant difference between the two groups from the third to the sixth hour concerning the frequency, duration, interval, and intensity of uterine contractions, alongside cervical effacement and dilatation. Furthermore, a highly statistically significant difference was identified between the two groups pertaining to the mean duration of the first, second, and third stages of labor. Conclusion: The findings concluded that parturient women who assume the hands and knees position experienced faster labor progress compared to those who assume the lateral position. Recommendation: It is suggested to raise awareness of women regarding the benefits of the hands and knees position to facilitate delivery.