Effects of Ambulation During First Stage of Labour on Maternal and Neonatal Outcomes

NCT03447015 | Completed Results

• 1 other identifier: 112018
• Study Type: interventional
• Target: 290
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigates the effect of ambulation (walking) during first stage of labour on maternal and neonatal outcomes. In the intervention group women will be encouraged to ambulate and women in the control group will receive usual maternity care.

Conditions

Labor Pain

Keywords

ambulation; labour; Randomized Controlled Trial; Jordan

Outcome Measures

Primary Outcomes (5)

• Duration of the First Stage of Labour

  Labour duration will be measured in minutes.

  from 3-4 cm of cervical dilatation until delivery of the child.

• Labour Pain Intensity

  Visual Analogue pain Scale rating from 0 to 10 in which the woman registers the pain perception, considering 0 no pain and 10 the worst pain imaginable.)

  from time of 4 cm cervical dilatation to to time of full crvical dilatation

• Use of Analgesics

  used analgesics or did not use

  24 to 48 hours after birth.

• Mode of Birth

  (defined as normal, vacuum extraction, forceps delivery, or cesarean section)

  assessed up to child delivery

• Woman's Satisfaction With the Birth Experience

  Birth satisfaction scale is a Likert-type scale which is scored according to the responses as indicated: I Strongly Agree. 5; I Agree. 4; I Neither Agree or Disagree: 3; • I Disagree.2; • I Strongly Disagree: 1. The scale consists of 30 items, and total number of scores to be obtained from the scale range between 30, and 150 points. As the scores obtained from the scale increase, level of birth satisfaction increases.

  24 to 48 hours after birth.

Secondary Outcomes (1)

• Newborn Health Status

  at 5 min of birth of baby

Study Arms (2)

Ambulation during labour

EXPERIMENTAL

women will be encouraged to ambulate "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).

Other: ambulation

Standard Maternity care

NO INTERVENTION

women will receive usual maternity care.

Interventions

ambulation OTHER

"Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).

Ambulation during labour

Eligibility Criteria

• Age: 18 Years - 50 Years
• Gender Eligibility Details: All primiparous women with uncomplicated singleton pregnancies between 37 and 41 weeks gestation, cephalic, with cervical dilatation 3 to 5cm who come to give birth at Al-Karak hospital, between the 1st of January and the 30th of December 2018 will be approached for participation
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• primiparous women
• with uncomplicated singleton pregnancies
• between 37 and 41 weeks gestation, cephalic, with cervical dilatation 3 to 5cm

You may not qualify if:

• multiparous
• with complicated pregnancies , multiple gestation,

Sponsors & Collaborators

• Mutah University: lead

Study Sites (1)

Ministry Of Health

Karak, 61166, Jordan

Location

Related Publications (14)

• Bala, I., M. Babu, et al. Effectiveness of Back Massage versus Ambulation During First Stage of Labour among Primigravida Mothers in Terms of Pain and Anxiety. International Journal of Nursing Education 9(3): 28-32, 2017

  BACKGROUND

• Khresheh R, Homer C, Barclay L. A comparison of labour and birth outcomes in Jordan with WHO guidelines: a descriptive study using a new birth record. Midwifery. 2009 Dec;25(6):e11-8. doi: 10.1016/j.midw.2007.10.007. Epub 2007 Dec 26.

  PMID: 18155816 BACKGROUND

• Lawrence A, Lewis L, Hofmeyr GJ, Styles C. Maternal positions and mobility during first stage labour. Cochrane Database Syst Rev. 2013 Oct 9;2013(10):CD003934. doi: 10.1002/14651858.CD003934.pub4.

  PMID: 24105444 BACKGROUND

• Ministry of Health. Health Indicators.http://www.moh.gov.jo/reports. Retrieved 30 September, 2017.

  BACKGROUND

• Miquelutti, M. A., J. G. Cecatti, et al. The vertical position during labor: pain and satisfaction. Revista Brasileira de Saúde Materno Infantil 9 (4): 393-398, 2009

  BACKGROUND

• Ondeck M. Healthy birth practice #2: walk, move around, and change positions throughout labor. J Perinat Educ. 2014 Fall;23(4):188-93. doi: 10.1891/1058-1243.23.4.188.

  PMID: 25411538 BACKGROUND

• Prabhakar, D., L. S. George, et al. Effectiveness of Ambulation during First Stage of Labour, on the Outcome of Labour among Primigravid Women in Selected Hospitals of Palakkad District, Kerala. International Journal of Nursing Education 7(1): 1-6,2015

  BACKGROUND

• Romano AM, Lothian JA. Promoting, protecting, and supporting normal birth: a look at the evidence. J Obstet Gynecol Neonatal Nurs. 2008 Jan-Feb;37(1):94-104; quiz 104-5. doi: 10.1111/j.1552-6909.2007.00210.x.

  PMID: 18226163 BACKGROUND

• Savitha, V., S. Nayak, et al. Effect of Ambulation during First Stage of Labor on Labor Pain and Outcome of Labor among the Primigravida Mothers in a Selected Hospital Mangalore. Journal of South Asian Federation of Obstetrics and Gyneacology 5(1): 1-3, 2013

  BACKGROUND

• Shaban IA, Hatamleh R, Khresheh R, Homer C. Childbirth practices in Jordanian public hospitals: consistency with evidence-based maternity care? Int J Evid Based Healthc. 2011 Mar;9(1):25-31. doi: 10.1111/j.1744-1609.2010.00197.x.

  PMID: 21332660 BACKGROUND

• Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. J Midwifery Womens Health. 2004 Nov-Dec;49(6):489-504. doi: 10.1016/j.jmwh.2004.07.007.

  PMID: 15544978 BACKGROUND

• Souza JP, Miquelutti MA, Cecatti JG, Makuch MY. Maternal position during the first stage of labor: a systematic review. Reprod Health. 2006 Nov 30;3:10. doi: 10.1186/1742-4755-3-10.

  PMID: 17137501 BACKGROUND

• Sweidan M, Mahfoud Z, DeJong J. Hospital policies and practices concerning normal childbirth in Jordan. Stud Fam Plann. 2008 Mar;39(1):59-68. doi: 10.1111/j.1728-4465.2008.00151.x.

  PMID: 18540524 BACKGROUND

• WHO. Care in normal birth: Apractical guide,1996 .http://www.who.int/maternal_child_adolescent/documents/who_frh_msm_9624/en/.

  BACKGROUND

MeSH Terms

Conditions

Labor Pain

Interventions

Walking

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Locomotion; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise; Motor Activity

Results Point of Contact

• Title: Dr Reham Khresheh
• Organization: Mutah University

rehamkh@mutah.edu.jo

0791425992

Study Officials

• Reham M Khresheh, PhD

  Mutah University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: The principal researcher will be kept blind for those participants who are in the intervention and control groups. Completing the second part of the study tool, which is related to maternal and infant health outcomes, will be in maternal ward and by the primary investigators 24 to 48 hours after birth.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Reham Khresheh

Model Details: A randomised controlled study will be conducted with primiparous women. In the intervention group women will be encouraged to ambulate and women in the control group will receive usual maternity care

Study Record Dates

• First Submitted: February 12, 2018
• First Posted: February 27, 2018
• Study Start: March 1, 2018
• Primary Completion: February 20, 2019
• Study Completion: February 20, 2019
• Last Updated: December 6, 2024
• Results First Posted: October 11, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

JO (1)