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Birth Environment Design Study for Pregnant Wome

Not Applicable
Recruiting
Conditions
Pregnant Women
Reproductive Health and Childbirth - Normal pregnancy
Registration Number
ACTRN12620000238976
Lead Sponsor
Western Sydney Local Health District (WSLHD)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Female
Target Recruitment
160
Inclusion Criteria

Inclusion/Exclusion Criteria
The National Midwifery Guidelines for Consultation and Referral (ACM 2015) provide information to midwives to assist with integrating evidence into their clinical care and to aid midwives in their discussions with women regarding different maternity care options. Pregnancy or medical conditions are labelled as either A, A*, B or C.
A or A*: Discuss the situation with a colleague, and/or medical practitioner. A* is the category for midwives endorsed to prescribe scheduled medicines and order diagnostic or screening tests (ACM, 2015, p.22).
B: Consult with a medical practitioner or other health care provider (ACM, 2015, p.22).
C: Refer a woman or her infant to a medical practitioner for secondary or tertiary care (ACM, 2015, p.22).
Inclusion Criteria
•18 years or older at time of recruitment
•Experiencing a low-risk pregnancy and classified as either category A/A* or B under the National Midwifery Guidelines for Consultation and Referral (ACM 2015)
•Greater than 36 weeks gestation
•Planning a vaginal birth

Exclusion Criteria

Exclusion Criteria
•High-risk pregnancy classified as either category C under the National Midwifery Guidelines for Consultation and Referral (ACM 2015).
•If the woman is recruited while she is classified as low risk but during her pregnancy develops into a high-risk patient she will be excluded from the study.
•Medical indication requiring CS or other medical issues preventing upright positions in labour and birth
•Previous stillbirth or stillbirth in current pregnancy
•Inability to give informed consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome is mobility in labour as assessed by the study-specific 'Maternal Positions Form which is contemporaneously completed by the midwife and documents predominant maternal position every 30 minutes and whether this position occurs on or off the bed. [Mobility of woman in active labour will be assessed contemporaneously. Birth Unit Midwives will be asked to complete a form documenting maternal position every 30 minutes and further information will also be gained by the completion of the postnatal survey by both the midwives and woman. ]
Secondary Outcome Measures
NameTimeMethod
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