Persistent Occipito-Posterior: Outcomes following digital rotation. The POPOUT” Pilot Study
- Conditions
- Occipito-posterior position in the second stage of labourReproductive Health and Childbirth - Childbirth and postnatal care
- Registration Number
- ACTRN12609000833268
- Lead Sponsor
- Royal Prince Alfred Women and Babies
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Female
- Target Recruitment
- 30
.At least 37 completed weeks of gestation
· Planned vaginal delivery Cephalic presentation
· Full cervical dilatation
·Fetal position confidently assessed as occipito-posterior on vaginal examination, and confirmed by ultrasound in labour ward
·Clinical suspicion of cephalopelvic disproportion
· Previous caesarean section·Brow or face presentation
· Pathologic” CTG according to Royal College of Obstetrics and Gynecology (RCOG) classification plus either baseline >160 beats per minute or reduced variability
·Fetal scalp pH < 7.25 (if taken)
·Suspected fetal compromise
·Known anatomical fetal abnormality
·Known or suspected chorioamnionitis
·Any condition requiring immediate delivery
·Any condition requiring elective caesarean section
·Intrapartum haemorrhage
·Temperature > 38oC in the first stage of labour
·Suspected fetal bleeding diaphesis
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Operative delivery (defined as C/S, forceps or ventouse delivery).[once the participants have delivered or at end of trial]
- Secondary Outcome Measures
Name Time Method