The Effect of Maternal Position on Labour Progression in Deliveries With the Foetus in the Occiput Posterior Position
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 148
- 主要终点
- birth type of the baby
研究概览
简要总结
This is a randomized controlled experimental study to determine the effect of maternal position on the progression of labour in deliveries in which the foetus is in the occiput posterior position.
The study included 148 gravidas admitted to a private Istanbul hospital, who consented to participate. They were divided into intervention and control groups (n=72). The intervention group assumed a side-lying position on the occiput side for 20 minutes, a prostrate position for 15 minutes, then leaned towards the bed's head for 10 minutes (rest), followed by another 20-minute side-lying position. The control group received routine delivery care.
详细描述
This is a randomized controlled experimental study. The research was carried out in a private hospital in Istanbul. The population of the study covered gravidas who were admitted to the hospital for delivery with the foetus in the occiput posterior position in labour. The sample of the study included 148 volunteering gravidas, who were divided into intervention and control groups.
Research Hypotheses:
H1: In deliveries where the foetus is in the occiput posterior position, the positions given to the mother help the foetus to rotate to the occiput anterior position.
H2: Positions given to the mother in the occiput posterior position do not affect the Apgar score.
H3: In deliveries where the foetus is in the occiput posterior position, the positions given to the mother reduce the rate of interventional delivery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Gravidas aged 18 years or older
- •Between 36 and 42 weeks of gestation
- •Willing to participate in the study
- •Expected to deliver vaginally
- •Not classified as high-risk
- •No obstetric or medical complications during labor
- •Single, healthy fetus in one of the following positions: occiput posterior, left occiput posterior, right occiput posterior, left occiput transverse, or right occiput transverse (confirmed via ultrasonography)
- •Cervical dilation of at least 2-3 cm
- •Estimated fetal weight between 2500 g and 3999 g
- •No major congenital anomalies
排除标准
- •Inability to understand Turkish
研究组 & 干预措施
Intervention group
The positioned group assumed a side-lying position on the occiput side for 20 minutes, a prostrate position for 15 minutes, then leaned towards the bed's head for 10 minutes (rest), followed by another 20-minute side-lying position.
干预措施: Positioned group (Behavioral)
Control group
The control group was followed up in the routine delivery room, and no positioning was done.
结局指标
主要结局
birth type of the baby
时间窗: from labor to the end of the delivery
cesarean section, spontaneously deliver
Head position
时间窗: From labor to the expulsion stage
right - left occiput posterior; right - left occiput transverse; right - left occiput anterior
次要结局
- duration of expulsion phase(duration of expulsion phase)
研究者
Nezihe KIZILKAYA BEJI
Professor
Biruni University