NCT04056793

Brief Summary

This qualitative study evaluates the acceptability of positioning pregnant women in labour in an optimized position, which consists in the hyperflexion of the legs and the loss of the lumbar lordosis. Twenty patients in situation of dystocia will adopt the described position for a limited amount of time.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Aug 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 6, 2019

Completed
3 days until next milestone

First Submitted

Initial submission to the registry

August 9, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 14, 2019

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2020

Completed
Last Updated

February 16, 2021

Status Verified

February 1, 2021

Enrollment Period

5 months

First QC Date

August 9, 2019

Last Update Submit

February 15, 2021

Conditions

Keywords

Birthing positionDystocia

Outcome Measures

Primary Outcomes (1)

  • Acceptability of the optimized birthing position assessed by calculating the average score obtained through the VAS

    The Visual Analogue Scale will allow to obtain a score from 0 to 10, 0 standing for complete dissatisfaction and 10 for complete satisfaction of the participants

    20 minutes

Secondary Outcomes (6)

  • Number of refusals

    20 minutes

  • Number of risk factors of non-engagement of the foetus at full dilation

    20 minutes

  • Neonatal adaptation assessed by the Apgar score

    20 minutes

  • Birth outcome assessed by the percentage of vaginal delivery, Caesarian Section, delivery hemorrhage and perineal tear

    20 minutes

  • Weight of the foetus measured in kilograms

    20 minutes

  • +1 more secondary outcomes

Study Arms (1)

Parturients in situation of dystocia

EXPERIMENTAL

Positioning of the parturients in an optimized birthing position

Other: Optimized birthing position

Interventions

The parturients will be asked to adopt a supine position with a hyperflexion of the thighs and a flat back, and to maintain the position for a duration of twenty minutes.

Parturients in situation of dystocia

Eligibility Criteria

Sexfemale
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Informed consent as documented by signature
  • Parturient in situation of mechanical dystocia (non engagement at full dilation)

You may not qualify if:

  • Inability or medical contraindications to undergo the investigated intervention (e.g. orthopaedic injury or disease preventing the parturient from adopting the optimised position)
  • Clinically significant concomitant diseases
  • Incapacity of judgment
  • Inability to follow the procedures of the study due to language problems, psychological disorders, dementia, etc.
  • Foetus cardiac rhythm disorder

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Centre Hospitalier Universitaire Vaudois

Lausanne, Canton of Vaud, 1011, Switzerland

Location

MeSH Terms

Conditions

Dystocia

Condition Hierarchy (Ancestors)

Obstetric Labor ComplicationsPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital Diseases

Study Officials

  • Pr David Baud - Médecin chef de service - MD, PHD

    Centre Hospitalier Universitaire Vaudois

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Médecin cadre - MD, PhD, PD-MER

Study Record Dates

First Submitted

August 9, 2019

First Posted

August 14, 2019

Study Start

August 6, 2019

Primary Completion

January 1, 2020

Study Completion

January 1, 2020

Last Updated

February 16, 2021

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will not share

Locations