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OpenTrials
Completed

NCT Number: NCT07383181

Standing vs. Squatting Positions During Labor

Background: Maternal position during labor is a key non-pharmacological strategy that supports physiological birth and women's active participation in the childbirth process. Although upright positions have been associated with favorable labor outcomes compared with supine positions, evidence directly comparing different upright positions-particularly in relation to maternal birth experience and perceived traumatic birth-remains limited.

Objective: This study aimed to compare the effects of standing and squatting positions during the first stage of labor on the birth process, birth comfort, pain intensity, and perceived traumatic birth experience among multiparous women.

Methods: This study was conducted using a comparative interventional design. A total of 82 multiparous women were included and allocated to either the standing group (n=41) or the squatting group (n=41) during labor. Data were collected using a personal information form, the Visual Analog Scale (VAS) for pain, the Labor Comfort Scale, and the Traumatic Birth Perception Scale. Outcomes were assessed during labor and within the first two hours postpartum. Statistical analyses included comparative and correlation analyses.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Nilgün Avcı

Istanbul, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Multiparous women aged ≥18 years
  • Gestational age between 38 and 42 weeks
  • Singleton pregnancy with cephalic presentation
  • Cervical dilatation ≥4 cm at admission
  • Low-risk pregnancy
  • Willingness to participate and provide written informed consent

Exclusion criteria

  • Multiple pregnancy
  • Presentation anomalies
  • High-risk pregnancy (e.g., preeclampsia, gestational diabetes, placenta-related complications)
  • Fetal distress or known fetal anomalies
  • Any medical or obstetric condition requiring restricted mobility during labor

Treatment and study plan

Standing Position During Labor

Behavioral

Women were encouraged to remain standing or to walk during contraction-related pain episodes throughout the first stage of labor under midwife supervision.

Squatting Position During Labor

Behavioral

Women were encouraged to assume the squatting position during contractions during the first stage of labor, supported by a birthing ball or bed rails according to preference.

Primary outcomes

  1. Total Labor Duration

    Time frame: From active labor onset (cervical dilatation ≥4 cm) to delivery

    Total duration of labor measured in hours.

  2. Birth Duration

    Time frame: From the active phase of labor to birth

    Duration of the birth process measured in minutes.

Sponsors and collaborators

Lead sponsor

Biruni University

Other

Registry information

Official study title

The Effect of Standing and Squatting Positions During the First Stage of Labor on Birth Process, Birth Comfort, and Perceived Traumatic Birth Experience Among Multiparous Women

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 3, 2026
Registry last updated
Feb 3, 2026

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.