Completed

NCT Number: NCT05392660

Upright Position During First Stage of Labour

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

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Key information

Conditions

Effects of Movement

Age range

20 year–35 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of nursing Cairo university

Cairo, 11553, Egypt

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

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

Exclusion criteria

Any women out of inclusion criteria

Treatment and study plan

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 )

Primary outcomes

Intensity of labor pain assessed by Visual analogue pain intensity scale

Time frame: during the procedure

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).
duration of first stage of labor

Time frame: during the procedure

upright position may decrease the duration of first stage of labor

Secondary outcomes

duration of second stage of labor

Time frame: immediately after intervention

upright position may decrease the duration of second stage of labor
fetal outcome

Time frame: during the procedure

fetal well being through fetal heart rate assessment assessed by CTG (cardio toco graph ) machine
Neonatal outcome

Time frame: immediately after intervention

neonatal condition after delivery assessed by a standardized APGAR score tool by allocating scores to five simple criteria Activity (Muscle tone), Pulse (Heart rate), Grimace (reflex irritability) Appearance (Skin color) & Respiratory effort (breathing). A total score (0-3) revealed sever neonatal distress, (4-7) indicated moderate distress & (8-10) indicated absence of difficulty in adjusting to extra uterine live.

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Effect of Upright Position During First Stage of Labour On Labour Outcome: An Evidence Based Approach

Important dates

Study start: 2019
Primary completion: 2020
Study completion: 2020
First posted: May 26, 2022
Registry last updated: May 26, 2022

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.