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Completed

NCT Number: NCT01291355

Maternal Positioning and Occipitoposterior Fetal Position

The aim of the study is to evaluate the efficacy of a specific maternal position to correct fetal position in occipito-posterior during the labor.

The investigators hypothesize that the maternal position described by the Dr de Gasquet facilitate the rotation in occipito-anterior during the labor.

The calculated sample size is 438 participants (219 in each group)

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Key information

Conditions

Maternal Distress in Labor Dystocia Female Urogenital Diseases and Pregnancy Complications Fetal Position and Presentation Abnormalities Obstetric Labor Complications Persistent Occipitoposterior or Occipitoanterior Position Pregnancy Complications Urogenital Diseases

Age range

18 year–48 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Maternity of University Hospitals, Geneva, Switzerland

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About this study

Randomized clinical trial

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • singleton
  • primiparous and multiparous
  • Term ≥ 37 weeks
  • Labor in dilatation phase (cervix effaced, permeable finger 2 to 9 cm)
  • Diagnosis of occipitoposterior variety confirmed by ultrasound

Exclusion criteria

  • Maternal age below 18 years old
  • Misunderstanding the French Language
  • Full dilatation of the cervix
  • Posture evaluated already adopted by the woman during labor

Treatment and study plan

Specific maternal position during the labor

Other

women allocated to intervention group will be invited to adopt a posture all fours type:"support on the knees, torso tilted forward, back stretched" for a minimum of 10 minutes. A cushion is placed between the legs of the woman to limit the cuts.

Primary outcomes

  1. Fetal presentation after the intervention compare to control group

    Time frame: One hour after the randomization for the study

    Diagnosis of the fetal presentation will be measured by an ultra-sound one hour after the randomization in both groups: intervention and control

Secondary outcomes

  1. Maternal comfort and pain sensation

    Time frame: During the hour after the randomization

    Auto-administrated questionnaire to assess comfort of the maternal position and pain related to the labor, in intervention group and control group

Sponsors and collaborators

Lead sponsor

University Hospital, Geneva

Other

Collaborators

  • Swiss National Science Foundation
  • University of Applied Sciences of Western Switzerland

Registry information

Official study title

Maternal Positioning to Correct Occipitoposterior Fetal Position in Labor: A Randomized Controlled Trial

Important dates

Study start
2011
Primary completion
2014
Study completion
2014
First posted
Feb 8, 2011
Registry last updated
Nov 13, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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