Upright Position During First Stage of Labour

NCT05392660 | Completed

• 1 other identifier: 2014
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

There are several physiological advantages for being upright during labour. These include the effect of gravity on the fetus within the uterus; reduced risk of aorto-caval compression this maximizes uterine blood flow to the placenta and fetus during labour and more efficient contractions which lead to shorter first and second stage of labor. In addition, being upright during labour provide better alignment of the fetus; and increased pelvic outlet when the woman is in squatting and kneeling positions

Conditions

Effects of Movement

Keywords

First stage of labor; Upright position; Labor outcomes

Outcome Measures

Primary Outcomes (2)

• Intensity of labor pain assessed by Visual analogue pain intensity scale

  Assessment of labor pain assessed by VAS (Visual analogue pain intensity scale ).It is a self-reported 10 cm horizontal line which represented the subjective estimation of pain intensity. It comprised 0-10-point numerical scale, No pain (0), Mild pain (\< 4), Moderate pain (4-6), Sever pain (7-10).

  during the procedure

• duration of first stage of labor

  upright position may decrease the duration of first stage of labor

  during the procedure

Secondary Outcomes (3)

• duration of second stage of labor

  immediately after intervention

• fetal outcome

  during the procedure

• Neonatal outcome

  immediately after intervention

Study Arms (2)

study arm

EXPERIMENTAL

assumed upright position during first stage of labor

Other: assumed upright position during first stage of labor

control arm

NO INTERVENTION

hospital routine care

Interventions

assumed upright position during first stage of labor OTHER

The study group assumed one of upright positions during first stage of labor, defined as walking , sitting, standing, kneeling \& squatting positions )

study arm

Eligibility Criteria

• Age: 20 Years - 35 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Primipara parturient women who admitted to delivery unit;
• in early active phase of 1st stage of labor (not more than 4cm),
• age between 20-35 years,
• had a single, viable, and full term (≥ 37 weeks),
• with normal fetal heart rate pattern (120-160 b/min),
• fetus in occipto anterior position
• free from medical or obstetrical disorders that may interrupt labor progress

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of nursing Cairo university

Cairo, 11553, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Masking Details: Allocation of the women to study or control group was carried out through a person not involved in the study nurses in charge during the shift. This allocation was concealed from person allocating a woman into the trial (nurses)
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer

Study Record Dates

• First Submitted: May 19, 2022
• First Posted: May 26, 2022
• Study Start: January 2, 2019
• Primary Completion: March 27, 2020
• Study Completion: March 27, 2020
• Last Updated: May 26, 2022

Record last verified: 2022-05

Locations

EG (1)