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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.

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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.

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:

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