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Abstract Aim of this study was to study maternal semi sitting versus lithotomy position during second stage of labor. Subjects and method: A quasi-experimental study was conducted at the Labor and Delivery Room of Mansoura University Hospital, on a purposive sample of 96 parturient women in active labor; 48 assigned to study group by assuming the semi sitting position during second stage of labor, while the control group (n=48) adopted the conventional lithotomy position. Data were collected using three tools; a structured interview Schedule, Visual Analogue Scale for pain and satisfaction with the assumed position scale. Results: The intervention group had more efficient contractions, shorter 2nd stage duration, less perineal lacerations, lower labor pain scores and higher satisfaction scores, better heart rate pattern, APGAR and don’t need resuscitation compared to those of the control group. Conclusion and recommendations: Positioning of parturient women in semi sitting position had a positive impact on maternal outcomes and woman’s satisfaction with the care provided. Accordingly, semi sitting position would be an integral part of the nursing care during second stage of labor. |