The Effect of Ultrasound Guided Visual Biofeedback Performed by Midwifes on the Duration of the Active Second Stage of Labor

Not Applicable

Completed

• Conditions: Labor Stage, Second

• Registration Number: NCT06857552
• Lead Sponsor: Kaplan Medical Center

Brief Summary

The goal of this randomized controlled trial is to investigate whether using of coached sonographic pushing will decrease the length of the second stage of labor and the rate of operative deliveries.

Researchers will compare women who undergo the traditional coached pushing to women who undergo visual biofeedback coached pushing.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-05-03
• Primary Completion: 2021-05-03
• Study Completion: 2024-09-07
• Status Verified: 2025-02
• Study First Submitted: 2025-02-23
• Study First Submitted QC: 2025-02-27
• Last Update Submitted: 2025-02-27
• Study First Posted: 2025-03-04
• Last Update Posted: 2025-03-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 324

Inclusion Criteria

• Singleton pregnancy
• Nulliparous
• 37-42 weeks of gestation
• Under neuroaxial analgesia
• Reached the second stage of labor
• An estimated fetal weight between 2500-4000 grams

Exclusion Criteria

• Women who arrived in active labor and delivered before being assessed by a physician.
• Women with contra-indications for vaginal birth

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Length of the second stage of labor	At baseline	To investigate whether using of coached sonographic pushing will decrease the length of the second stage of labor.
Mode of delivery	At baseline	To investigate whether using of coached sonographic pushing will affect the rate of operative deliveries.

Secondary Outcome Measures

Name	Time	Method
Maternal outcomes	At baseline	Maternal 3rd or 4th degree tear rate, postpartum hemorrhage rates
Neonatal Outcomes	At baseline	Apgar score less than 7 in 5 minutes.

Trial Locations

Locations (1)

Kaplan Medical Center; 🇮🇱 Rehovot, Israel