Early Versus Delayed Pushing in the Second Stage of Labor

Not Applicable

Completed

• Conditions: Vaginal Delivery
• Interventions: Procedure: vaginal delivery

• Registration Number: NCT03121274
• Lead Sponsor: Cairo University

Brief Summary

Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible.

Detailed Description

Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible.

Oxytocin was allowed in both group and fetus was monitored with CTG.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2017-04-11
• Study First Submitted QC: 2017-04-17
• Study First Posted: 2017-04-20
• Study Start: 2017-08-10
• Primary Completion: 2018-08-01
• Study Completion: 2018-09-25
• Status Verified: 2018-11
• Last Update Submitted: 2018-11-02
• Last Update Posted: 2018-11-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 184

Inclusion Criteria

• Healthy women
• Gestational age 36 to 40 weeks
• singleton pregnancy

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Exclusion Criteria

• women indicated for cesarean section
• Medical complications of pregnancy as hypertensive disorders or Diabetes Mellitus
• Fetal distress
• Epidural anaesthesia

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Early pushing during vaginal delivery	vaginal delivery	patients are allowed to push within one hour after full cervical dilatation whether the vertex was visible or not
Delayed pushingduring vaginal delivery	vaginal delivery	patients here are asked not to push for maximum of 3 hours or start pushing when the vertex was visible

Primary Outcome Measures

Name	Time	Method
successful vaginal delivery	within 3 hours from full cervical dilatation	success of vaginal delivery

Trial Locations

Locations (1)

Kasr Alainy medical school; 🇪🇬 Cairo, Egypt