The literature of this subject is practically confined to two questions: 1. What effect has posture on the mechanics of labor? 2. How does posture affect the pelvic diameters?
It is not the purpose of this paper to discuss either of these questions; but rather to consider posture with reference to its bearing on sepsis, and to determine, if possible, what position is most conducive to an aseptic technique. The plan of delivering the woman as she lies in bed—the amniotic fluid, the child, the blood, the placenta and often fecal matter being received by the bed or its protections—has had from antiquity to the present, the sanction of universal custom. With such conditions an aseptic technique is incompatible. In the homes of those who are able to command the comforts and some of the luxuries of life, these unfavorable conditions can be greatly modified.
Given a clean patient in
PORTER WD. POSITION OF THE WOMAN DURING DELIVERY. JAMA. 1901;XXXVII(10):613–615. doi:10.1001/jama.1901.62470360003001a
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