BirthCourse: An antenatal package of non-pharmacological pain-relief techniques for labour and birth to reduce the rates of caesarean section in labour and birth.

Not Applicable

• Conditions: Maternal health during labour and birth; Caesarean section; Labour pain as reflected by use of epidural analgesia; Newborn health; Reproductive Health and Childbirth - Antenatal care; Reproductive Health and Childbirth - Childbirth and postnatal care; Reproductive Health and Childbirth - Complications of newborn; Public Health - Health promotion/education

• Registration Number: ACTRN12619000830190
• Lead Sponsor: niversity of Notre Dame Australia

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-06-07
• Last Update Posted: 15 July 2019

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: Female
• Target Recruitment: 400

Inclusion Criteria

•Pregnant (with no congenital abnormalities) women (including: first time mothers (nulliparous)/ or women who have previously given birth (multiparous) – This is local choice i.e. each participating site can decide who to include, and this will be specified in their site specific study. The other sites where the trial will be performed as of yet unknown but we will seek the relevant ethics approval when they are identified).
The risk status of pregnant women is determined by a 'risk assessment' conducted during pregnancy. Women who are classified as low risk or moderate risk will be included.
(Risk status is determined by a scoring system at the hospital and measures can include age, marital status, socio-economic factors, smoking, threatened miscarriage, previous low birthweight baby, previous stillbirth, maternal weight and height. This scoring system enables clinicians to identify women at increased risk of adverse outcomes, and subsequently management options to reduce this risk).

•Singleton pregnancy, baby in vertex position, placenta not low lying (>20mm from the cervical os)
• No contraindications to vaginal birth
•Intending to have a vaginal birth
•Gestation between 24 and 36 weeks
•Mixed risk (local choice i.e. each participating site can decide who to include within their site specific study)
•Fragmented and continuity of care programs (stratified analysis)
•Sufficient English for participation in a two-day workshop,
•LOTE if educator or translator is able to provide full class in language of choice

Exclusion Criteria

•High risk pregnancies
•Congenital abnormalities
•Any indication for planned caesarean section
•Participation in similar program of independent antenatal education (including for example, ‘CalmBirth’, ‘Hypnobirthing’, ‘Active Birthing’, ‘Yoga Birth’, ‘She Births', 'Genetle Birth', 'Lamaze' etc)

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Caesarean section - data accessed from patient medical records following birth [At birth]