Continuous Intrapartum Support to Reduce Primary Cesarean
- Conditions
- Cesarean Section Complications
- Interventions
- Procedure: Continuous Intrapartum Support
- Registration Number
- NCT04086277
- Lead Sponsor
- IMSS Hospital General de Zona 4, Celaya, Guanajauto, Mexico
- Brief Summary
The objective of the study was to evaluate the intervention of intrapartum continuous support by a professional nurse with a university degree to reduce the nulliparous, term, singleton, vertex (NTSV) cesarean birth rate, in women pregnant less than 40 years in the HGZ No. 4 of the Guanajuato delegation of the Mexican Institute of Social Security, Mexico
- Detailed Description
Continuous intrapartum support is a strategy used to decrease the cesarean section rate, where multiple factors influence its effectiveness (start and duration of support, professional training of support staff, and others.). The objective of the study was to decrease the rate of deliveries by cesarean, through continuous intrapartum support during the active phase until birth, by a professional nurse with a university degree, the support was based on three basic aspects: 1) emotional support, 2) physical support and comfort measures and 3) information and counseling, for which a quasi-experimental study was conducted, with a study population of 115 women in labour (nulliparous, full-term, single product, vertex position) and under 40 years, a group control was formed (n = 55) who received routine maternal care and a study group (n = 60) who received continuous intrapartum support.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 115
- Women pregnant
- Nulliparous
- Term pregnancy
- Singleton pregnancy
- Vertex position
- Patients with maternal, fetal, or mixed cesarean indications were excluded.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Women in labor with continuous intrapartum support Continuous Intrapartum Support Continuous intrapartum support was based on three basic aspects: 1) emotional support, 2) physical support and comfort measures and 3) information and advice.
- Primary Outcome Measures
Name Time Method Cesarean delivery rate Until the occurrence of delivery (expected range from 6 hours to 12 hours) Percentage de cesarean section in the arms
- Secondary Outcome Measures
Name Time Method Induction of labour start of active phase (up to 1 hour) If oxytocin was used to induce labour. (Yes/No).
Time of labour From the active phase up to delivery (expected range from 6 hours to 12 hours) Labour covered the period of time from the active phase to birth. (Hours)
Apgar score At 1 and 5 minutes after delivery Is a quick test performed on a baby at 1 and 5 minutes after birth
Obstetric analgesia From the active phase up to delivery (expected range from 6 hours to 12 hours) If obstetric analgesia was applied to reduce the pain of labour. (Yes/No)
If obstetric analgesia was applied to reduce the pain of labour. (Yes/No)
Trial Locations
- Locations (1)
IMSS Hospital General de Zona 4
🇲🇽Celaya, Guanajuato, Mexico