The crucial thing to remember about the BUMPS trial is it is only about women with epidural analgesia. My own RCT in this area (position during the passive stage of labour for women with epidural anagesia) was explicitly about the lateral vs the upright sitting position, and showed definite benefits for the lateral position. This is also the message in the current cochrane review. But, ultimately, the real need is for a trial where women without epidural analgesia (or opiods) are not restricted in their movement, in spaces and with staff that enable maximum mobility and dynamic response to labour, compared to 'treatment as usual'. This trial is needed urgently, along with qualitative data capture (observation, video, etc and interviews) to find out what the factors are that support this kind of mobilisation. Id love to see such a trial done!
All the best
Soo
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From: A forum for discussion on midwifery and reproductive health research.
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