Maternal Positioning and Occipitoposterior Fetal Position

Not Applicable

Completed

• Conditions: Persistent Occipitoposterior or Occipitoanterior Position; Fetal Position and Presentation Abnormalities; Maternal Distress in Labor; Dystocia
• Interventions: Other: Specific maternal position during the labor

• Registration Number: NCT01291355
• Lead Sponsor: University Hospital, Geneva

Brief Summary

The aim of the study is to evaluate the efficacy of a specific maternal position to correct fetal position in occipito-posterior during the labor.

The investigators hypothesize that the maternal position described by the Dr de Gasquet facilitate the rotation in occipito-anterior during the labor.

The calculated sample size is 438 participants (219 in each group)

Detailed Description

Randomized clinical trial

Study Timeline

• Study Start: 2011-02
• Study First Submitted: 2011-02-07
• Study First Submitted QC: 2011-02-07
• Study First Posted: 2011-02-08
• Primary Completion: 2014-04
• Study Completion: 2014-10
• Status Verified: 2014-11
• Last Update Submitted: 2014-11-11
• Last Update Posted: 2014-11-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 438

Inclusion Criteria

• singleton
• primiparous and multiparous
• Term ≥ 37 weeks
• Labor in dilatation phase (cervix effaced, permeable finger 2 to 9 cm)
• Diagnosis of occipitoposterior variety confirmed by ultrasound

Exclusion Criteria

• Maternal age below 18 years old
• Misunderstanding the French Language
• Full dilatation of the cervix
• Posture evaluated already adopted by the woman during labor

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Specific maternal position	Specific maternal position during the labor	women allocated to intervention group will be invited to adopt a posture all fours type:"support on the knees, torso tilted forward, back stretched" for a minimum of 10 minutes. A cushion is placed between the legs of the woman to limit the cuts. According to Dr de Gasquet, author of the description of this posture, the effect on the variety of presentation would be almost immediate.

Primary Outcome Measures

Name	Time	Method
Fetal presentation after the intervention compare to control group	One hour after the randomization for the study	Diagnosis of the fetal presentation will be measured by an ultra-sound one hour after the randomization in both groups: intervention and control

Secondary Outcome Measures

Name	Time	Method
Maternal comfort and pain sensation	During the hour after the randomization	Auto-administrated questionnaire to assess comfort of the maternal position and pain related to the labor, in intervention group and control group

Trial Locations

Locations (2)

University Hospitals - Maternity; 🇨🇭 Geneva, Switzerland

Maternity of University Hospitals; 🇨🇭 Geneva, Switzerland