Upright Position During First Stage of Labour

Not Applicable

Completed

• Conditions: Effects of Movement
• Interventions: Other: assumed upright position during first stage of labor

• Registration Number: NCT05392660
• Lead Sponsor: Cairo University

Brief Summary

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

Detailed Description

Not available

Study Timeline

• Study Start: 2019-01-02
• Primary Completion: 2020-03-27
• Study Completion: 2020-03-27
• Status Verified: 2022-05
• Study First Submitted: 2022-05-19
• Study First Submitted QC: 2022-05-23
• Last Update Submitted: 2022-05-23
• Study First Posted: 2022-05-26
• Last Update Posted: 2022-05-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 100

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
study arm	assumed upright position during first stage of labor	assumed upright position during first stage of labor

Primary Outcome Measures

Name	Time	Method
Intensity of labor pain assessed by Visual analogue pain intensity scale	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	during the procedure	upright position may decrease the duration of first stage of labor

Secondary Outcome Measures

Name	Time	Method
Neonatal outcome	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.
duration of second stage of labor	immediately after intervention	upright position may decrease the duration of second stage of labor
fetal outcome	during the procedure	fetal well being through fetal heart rate assessment assessed by CTG (cardio toco graph ) machine

Trial Locations

Locations (1)

Faculty of nursing Cairo university; 🇪🇬 Cairo, Egypt