Effect of Peanut Balls Used of the Second Stage of Labor, Pushing Perceptions, Fatigue and Birth Outcomes

NCT06312449 | Completed

• 1 other identifier: 2211110001
• Study Type: interventional
• Target: 162
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to explore the use of peanut balls during the second stage of labor. It compares three different positions: traditional lithotomy position, lateral position, and lateral position with peanut ball in terms of women's perceived pushing effort experiences, fatigue, and birth outcomes.

Conditions

Other

Keywords

Peanut ball; Second stage of labor; Perceived effort experience; Fatigue

Outcome Measures

Primary Outcomes (4)

• The duration of the second stage of labor of women who use side-lying with peanut balls.

  The duration of the second stage of labor

  calculated from the labor records within 24 hours postpartum, will be recorded by the researcher onto the individual basic information form.

• The pushing time of women in the second stage of labor who use side-lying with peanut balls.

  The second stage of labor pushing time

  As documented in the nursing records within 24 hours postpartum, will be transcribed by the researcher onto the second stage labor pushing record form.

• lateral position with peanut ball in terms of women's perceived pushing effort experiences.

  Measuring pushing effort experiences

  Measurements will be conducted within 1 to 4 hours postpartum.

• Parturients using the side-lying position with a peanut ball for experience levels of fatigue.

  Measuring fatigue

  Measurements will be conducted within 1 to 4 hours postpartum.

Study Arms (3)

The experimental group

EXPERIMENTAL

The second stage of delivery involves using the lateral position with peanut ball

Other: The side-lying position with the peanut ball during the second stage of labor.

Control Group A

PLACEBO COMPARATOR

The second stage of delivery adopts the lateral position

Other: During the second stage, the patient is placed in a lateral position

Control Group B

NO INTERVENTION

As usual care

Interventions

The side-lying position with the peanut ball during the second stage of labor. OTHER

The usage of the peanut ball is divided into two stages: Stage one: The parturient assumes a side-lying position with the bed elevated to a 30-degree angle. The peanut ball is placed between the legs, allowing for leg separation. The parturient can choose to lie on either the left or right side according to preference. Stage two: When the fetal presenting part reaches 1 centimeter below the ischial spine (+1 Station), still in a side-lying position with the bed elevated to a 30-degree angle, the parturient has the option to switch sides. The peanut ball is then positioned between the legs with the knees bent together, for pushing

The experimental group

During the second stage, the patient is placed in a lateral position OTHER

The parturient assumes a side-lying position with the bed elevated to a 30-degree angle. The parturient can choose to lie on either the left or right side according to preference.When the fetal presenting part reaches 1 centimeter below the ischial spine (+1 Station), still in a side-lying position with the bed elevated to a 30-degree angle, the parturient has the option to switch sides, for pushing

Control Group A

Eligibility Criteria

• Age: 20 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Primiparous women with a singleton fetus in cephalic presentation at 36 weeks gestation or later.
• Anticipated vaginal delivery.
• Ability to understand, speak, read, and write Chinese.
• Normal prenatal examination findings for the fetus.
• Low-risk pregnancy.
• Voluntary participation after receiving an explanation of the study.

You may not qualify if:

• Mothers or fetuses experiencing abnormalities during labor requiring emergency cesarean section.
• Participants unwilling to engage in the side-lying position with exertion using the peanut ball during the second stage of labor.

Sponsors & Collaborators

• Tung Yu-Ching: lead
• Chang Gung Memorial Hospital: collaborator

Study Sites (1)

Yu-Ching Tung

Taoyuan, Taiwan

Location

MeSH Terms

Conditions

Fatigue

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Yu-Ching Tung, Nurse

  Chang Gung Medical Foundation Institutional Review Board

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Linkou Chang Gung Memorial Hospital, Delivery Room, Vice Head Nurse

Study Record Dates

• First Submitted: February 27, 2024
• First Posted: March 15, 2024
• Study Start: March 1, 2023
• Primary Completion: September 20, 2023
• Study Completion: September 23, 2023
• Last Updated: March 15, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)