A multicentre, randomised controlled trial of position during the late stages of labour in nulliparous women with an epidural: clinical effectiveness and an economic evaluation (BUMPES)

Bick, Debra; Briley, Annette; Brocklehurst, Peter; Hardy, Pollyanna; Juszczak, Edmund; Lynch, Lynn; MacArthur, Christine; Moore, Phillip; Nolan, Mary; Rivero-Arias, Oliver; Sanders, Julia; Shennan, Andrew; Wilson, Matt

doi:10.3310/hta21650

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The trial showed that a lying-down position in the second stage of labour in first-time mothers with an epidural achieved more spontaneous vaginal births than an upright position.

Debra Bick, Annette Briley, Peter Brocklehurst, Pollyanna Hardy, Edmund Juszczak, Lynn Lynch, Christine MacArthur, Phillip Moore, Mary Nolan, Oliver Rivero-Arias, Julia Sanders, Andrew Shennan & Matt Wilson.

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Debra Bick ¹, Annette Briley ², Peter Brocklehurst ^3,^*, Pollyanna Hardy ⁴, Edmund Juszczak ⁴, Lynn Lynch ⁵, Christine MacArthur ⁶, Phillip Moore ⁷, Mary Nolan ⁸, Oliver Rivero-Arias ⁴, Julia Sanders ⁵, Andrew Shennan ⁹, Matt Wilson ¹⁰

¹ Department of Midwifery, King’s College London, London, UK
² Biomedical Research Centre, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
³ Birmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK
⁴ National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK
⁵ School of Healthcare Sciences, Cardiff University, Cardiff, UK
⁶ Institute of Applied Health Research, University of Birmingham, Birmingham, UK
⁷ University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
⁸ Institute of Health and Society, University of Worcester, Worcester, UK
⁹ Division of Women’s Health, King’s College London, London, UK
¹⁰ School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK
^* Corresponding author Email: p.brocklehurst@bham.ac.uk

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