The Proactive Support of Labor Study
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Obstetric Labor Complications
- 发起方
- Norwegian University of Science and Technology
- 入组人数
- 347
- 试验地点
- 1
- 主要终点
- maternal satisfaction with deliver
- 状态
- 已完成
- 最后更新
- 4年前
概览
简要总结
The duration of labor is decisive for maternal and fetal health. Poor progression often results in tired mothers, bad experience, delivery complications and a demand for cesarean section in next pregnancy. Proactive support of labor is a method originally from the Netherlands.
The main idea is to define start of active labor earlier than the traditional "3-4 cm opening of the cervix and regular contractions" to be cervix < 0.5 cm in length, and 1 cm opening and painful contractions. From this point, it is expected to be a progress of 1cm/hour opening of cervix. If not, progress is supported by amniotomy or stimulation of contractions.
This method is embraced by several clinics with great enthusiasm. However, there are no randomized controlled trials to prove that this method is better than others.
研究者
入排标准
入选标准
- •spontaneous start of labor
- •nulliparous
- •term pregnancy
- •cephalic presentation
排除标准
- •breech presentation
- •given birth earlier
- •known uterine anomaly
- •insulin treated diabetes
- •preeclampsia
- •other serious medical conditions in mother or fetus
结局指标
主要结局
maternal satisfaction with deliver
时间窗: 1 week
validated Childbirth Experience Questionnaire (CEQ) (Anna Dencker 2010)
number of pathological deliveries
时间窗: 2 days
number non-normal deliveries