Effect of Upright Position During First Stage of Labour On Labour Outcome: An Evidence Based Approach
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Intensity of labor pain assessed by Visual analogue pain intensity scale
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Care Provider)
盲法说明
Allocation of the women to study or control group was carried out through a person not involved in the study nurses in charge during the shift. This allocation was concealed from person allocating a woman into the trial (nurses)
入排标准
- 年龄范围
- 20 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Any women out of inclusion criteria
研究组 & 干预措施
study arm
assumed upright position during first stage of labor
干预措施: assumed upright position during first stage of labor (Other)
control arm
hospital routine care
结局指标
主要结局
Intensity of labor pain assessed by Visual analogue pain intensity scale
时间窗: 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
时间窗: during the procedure
upright position may decrease the duration of first stage of labor
次要结局
- Neonatal outcome(immediately after intervention)
- duration of second stage of labor(immediately after intervention)
- fetal outcome(during the procedure)
研究者
Rabab sabry hassen mohamed
assistant lecturer
Cairo University