Birth Environment of the Future

Not Applicable

Completed

• Conditions: Pregnancy
• Interventions: Other: Supportive care in a specially designed labour room

• Registration Number: NCT02478385
• Lead Sponsor: Herning Hospital

Brief Summary

The main purpose of this study is to explore the impact of the birth environment on women's birth experience and relevant birth outcomes in the experimental Labour room compared to a standard Labour room.

Detailed Description

In the last decade, there has been an increased interest in exploring the impact of the birth environment on midwifery practice and the women's birth experiences. Results from these studies show that a home-like birth environment has positive effects on both midwifery practice and the birth experience. The hormone oxytocin that causes contractions during labour may play an important role in this context. The hormone is released when being in a safe, secure and confident environment. Therefore, it is a reasonable assumption that the birth environment also has an impact on birth outcomes.

To investigate this assumption one traditional labour room was transformed to an experimental labour room. The design of the room is inspired by knowledge from evidence-based healthcare design, which describes bringing nature into the room. Furthermore, it is possible for the parents to design their own birth setting by choosing atmosphere through sound, light and nature scenes.

Study Timeline

• Study First Submitted: 2015-03-17
• Study Start: 2015-05
• Study First Submitted QC: 2015-06-18
• Study First Posted: 2015-06-23
• Primary Completion: 2018-06
• Study Completion: 2018-08
• Status Verified: 2019-02
• Last Update Submitted: 2019-02-25
• Last Update Posted: 2019-02-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 680

Inclusion Criteria

• primiparas with a singleton pregnancy
• Gestational age 37-42
• speaks and understands Danish

Exclusion Criteria

• Inducted delivery

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Birth environment labour room	Supportive care in a specially designed labour room	Supportive care of labour room designed with special attention on sound and light effects, covering medical devices and insulation from outside noise
Labour in a standard labour room	Supportive care in a specially designed labour room	The woman gives labour in a standard labour room

Primary Outcome Measures

Name	Time	Method
No. of women receiving oxytocin stimulation during Labour	From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes	No of women augmented with oxytocin drip. The intervention is registered in the electronic patient journal. The duration in time (date,hours,minutes) of oxytocin treatment is registered in the electronic journal log

Secondary Outcome Measures

Name	Time	Method
Pain relieving interventions	From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes	Interventions with epidural and pudendal analgesia are registered in the electronic patient journal
Duration of labour	From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes	Minutes of stay in labour room until delivery is registered in separate data sheet with time of arrival and time of delivery

Trial Locations

Locations (1)

Department of gynaecology and obstetrics, Herning Hospital; 🇩🇰 Herning, Denmark