Assessment of Fetal Position in Active Labor

NCT02865057 | Completed

• 1 other identifier: 26057
• Study Type: observational
• Target: 12
• Locations: 0 countries
• Sites: N/A

Brief Summary

Vaginal exams are used routinely in labor to assess cervical dilation and position of the baby (facing anterior, facing to the right or left side, facing towards maternal spine). This technique has a widely variable accuracy rate (24.0-85.6%). Ultrasound has been used to help confirm or correct the vaginal assessment by obstetricians, but has not been used to assess the utility of immediate feedback to improve the accuracy of vaginal assessment by physicians in training. The investigators plan to use ultrasound assessment to determine if this education is effective in increasing accuracy in the resident population.

Conditions

Education

Outcome Measures

Primary Outcomes (1)

• assessing fetal position

  Categorical variables will be expressed as frequencies and percentages. Continuous variables will be expressed as means and standard deviations and/or medians and ranges. Demographic characteristics will be assessed using chi-square test and Fischer's Exact test for categorical variables. To examine improvement in the number of correct physical exams from baseline to post-intervention a repeated measures t-test or Wilcoxon signed rank test will be performed. An independent measures t-test or Mann-Whitney U test will be performed to compare the number of correct physical exams between resident groups. Other pertinent statistical tests will be utilized as needed to account for group differences and control for variables of interest.

  Immediate

Study Arms (2)

3rd year Residents

3rd year Ob, Gyn Residents

Procedure: Vaginal assessment

4th Year Residents

4th year Ob, Gyn Residents

Procedure: Vaginal assessment

Interventions

Vaginal assessment PROCEDURE

Vaginal assessment of position prior to delivery

3rd year Residents; 4th Year Residents

Eligibility Criteria

• Age: 21 Years - 26 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

3rd and 4th year Ob, Gyn Residents

You may qualify if:

• Physicians in obstetrics training -

You may not qualify if:

• Physicians outside of obstetrics training.

Sponsors & Collaborators

• St. Louis University: lead

Study Officials

• Jennifer Goldkamp, MD

  St. Louis University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MFM Fellow

Study Record Dates

• First Submitted: August 3, 2016
• First Posted: August 12, 2016
• Study Start: August 1, 2016
• Primary Completion: September 1, 2017
• Study Completion: September 1, 2017
• Last Updated: November 13, 2017

Record last verified: 2017-11

Data Sharing

• IPD Sharing: Will not share