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A randomised controlled trial of acupressure to assist spontaneous labour for women who are pregnant for the first time experiencing post-date pregnancy: A pilot study

Not Applicable
Recruiting
Conditions
Post-date pregnancy ie 41 weeks gestation or greater
Alternative and Complementary Medicine - Other alternative and complementary medicine
Registration Number
ACTRN12613000145707
Lead Sponsor
SW Ministry of Health
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Female
Target Recruitment
60
Inclusion Criteria

Patients who meet the study inclusion criteria will be recruited from maternity services, based at Gosford and Wyong Hospitals. All eligible women receiving care at the study sites will be invited to participate. The inclusion criteria are: primigravid women of gestation at 41 weeks gestation or greater, with a singleton pregnancy; fetus in a cephalic presentation; English speaking; age of 18 years and over;
receiving antenatal care with a midwifery model of care (as NSW PD 2010_022 Maternity- National Midwifery Guidelines for Consultation and Referral).

Exclusion Criteria

women experiencing regular uterine contractions (established labour); Contra-indication to induction of labour or vaginal birth; Women do not speak or read English will be unfairly discriminated against in the study, in the absence of a budget for adequate translation services for the written materials that are designed to facilitate informed consent. Regardless of the model of care that women access at Gosford maternity, service interpreter services are made available to them but this cannot always be guaranteed; Women with an intellectual or mental impairment may be disadvantaged in the process of giving informed consent. These women will need to access extra services from the mental health team at Gosford Hospital in order to negotiate decision making regarding the study and randomisation; Women who are highly dependent on medical care would require specialist medical/obstetric consultation and will usually have medical intervention prior to 41 weeks gestation; Women who are currently using Acupressure for post dates

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
This study aims to determine whether primigravida women who are experiencing post-date pregnancy (41 weeks gestation) are more likely to experience spontaneous onset of labour using specific acupressure points than women receiving usual antenatal care only. [Obstetric outcomes within 5-7 days after recruitment. <br>]
Secondary Outcome Measures
NameTimeMethod
The secondary aim with a patient survey is to explore the women’s experience on the care received and being randomised. For women allocated to the acupressure group, there is an additional section on the acupressure point education and information, and whether or not they used the acupressure points during pregnancy and labour, and any impact on partner involvement.[Patient survey within 10 days after birthing]
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