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Imaging of the birth canal opening during labour as a pushing aid among first-time mothers

Not Applicable
Active, not recruiting
Conditions
Childbirth
Pregnancy and Childbirth
Registration Number
ISRCTN57404917
Lead Sponsor
niversity Malaya Medical Centre
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
Female
Target Recruitment
220
Inclusion Criteria

1. Nulliparous
2. Age =18 years
3. Singleton pregnancy
4. Cephalic presentation
5. No contraindication for vaginal delivery
6. Reassuring fetal status (normal fetal heart rate tracing)
7. About to commence pushing

Exclusion Criteria

1. Patient who is suspected COVID 19 infection or COVID 19 positive
2. Known gross fetal anomaly
3. Planned instrumental delivery to shorten second stage
4. Maternal severe visual impairment
5. History of maladaptive maternal response to visual stimuli provoking e.g., migraine, seizure

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> Measured using patient records at the end of the study:<br> 1. Duration of the active second stage of labour which defined as the minutes from the start of biofeedback during active pushing to delivery of fetus<br> 2. Maternal satisfaction with pushing experience during birth<br>
Secondary Outcome Measures
NameTimeMethod
<br> Measured using patient records at the end of the study:<br> 1. Birth weight (kg)<br> 2. Umbilical cord arterial blood pH and base excess at birth<br> 3. Health at birth measured using Apgar score at 1 and 5 minute<br> 4. Special care nursery/ neonatal intensive care unit admission during birth admission<br> 5. Indication for neonatal admission<br> 6. Mode of delivery<br> 7. Estimated blood loss during delivery<br> 8. Degree of perineal tear<br>
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