Duration of Second Stage of Labor Wearing a Dental Occlusion Device
1 other identifier
interventional
64
1 country
1
Brief Summary
Developing a method to maximize maternal expulsive effort should be of great value in reducing the number of cesarean section or instrumental deliveries. Various investigations have shown that use of an occlusal support device (OSD) increases the isometric strength of different muscle groups. The aim of our study was to investigate the role of an OSD in second stage pushing.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable pregnancy
Started Oct 2007
Shorter than P25 for not_applicable pregnancy
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2007
CompletedFirst Submitted
Initial submission to the registry
February 25, 2008
CompletedFirst Posted
Study publicly available on registry
March 6, 2008
CompletedMarch 13, 2008
March 1, 2008
2 months
February 25, 2008
March 7, 2008
Conditions
Outcome Measures
Primary Outcomes (1)
The duration of the second stage of labor.
The duration of the second stage of labor.
Study Arms (2)
A
EXPERIMENTALsubjects with Occlusion Support Device with active pushing in the second stage of labor
2
NO INTERVENTIONSubjects without Occlusal Support Device with active pushing in the second stage of labor
Interventions
Dental mouthguard, molded for each individual patient when in labor. The device is put in the water then in microwave for one minute to soften the device. The device is then applied to the patient's mouth for over 10 seconds to mold it.
Eligibility Criteria
You may qualify if:
- Primipara
- Term
- Singleton
- Cephalic presentation
- Reactive fetal heart rate pattern
- Functioning epidural anesthesia
You may not qualify if:
- Medical or obstetrical complications including intrauterine growth restriction
- Large for gestational age
- Uterine anomaly
- Uterine myomata
- Pre-eclampsia
- Diabetes mellitus
- Fetal anomaly
- Maternal heart disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mercy Medical Center
Baltimore, Maryland, 21202, United States
Related Publications (1)
Matsuo K, Mudd JV, Kopelman JN, Atlas RO. Duration of the second stage of labor while wearing a dental support device: a pilot study. J Obstet Gynaecol Res. 2009 Aug;35(4):672-8. doi: 10.1111/j.1447-0756.2008.01010.x.
PMID: 19751326DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Robert O Atlas, MD
Mercy Medical Center, Baltimore
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
February 25, 2008
First Posted
March 6, 2008
Study Start
October 1, 2007
Primary Completion
December 1, 2007
Study Completion
December 1, 2007
Last Updated
March 13, 2008
Record last verified: 2008-03