Clinical Implications of Fetal Positioning During Delivery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fetal Position and Presentation Abnormalities
- Sponsor
- Żelazna Medical Centre, LLC
- Enrollment
- 300
- Locations
- 1
- Primary Endpoint
- Mode of delivery
- Last Updated
- 5 years ago
Overview
Brief Summary
The project aims to find a relationship between the positioning of the foetus before and during birth and the results of obstetrics and to determine their incidence in the Polish population. The study will be conducted by combining the use of ultrasound diagnostics, midwives observations during childbirth, analysis of medical documentation and a questionnaire on the activity of examined women. The obtained results will be used to prepare guidelines for the birth in a particular foetus position.
Detailed Description
The purpose of the examination is to describe the difficulties associated with delivery in a non-optimal position of the fetus. Initial observations show that such childbirth is perceived as difficult by both the women giving birth and the staff. The aim of the study is to describe the level of difficulty of this labor, expressed as the experience of the woman, as well as all the elements that may affect the difficulty of this labor, for example, slower or no progress in labor, disturbances in systolic function, injuries, the need to use epidural anesthesia, increased blood loss.
Investigators
Barbara Baranowska
Assistant at Maternity Ward St. Sophia Specialst Hospital in Warsaw, Principal Investigator
Żelazna Medical Centre, LLC
Eligibility Criteria
Inclusion Criteria
- •during childbirth,
- •in a single pregnancy,
Exclusion Criteria
- •pelvic position of the fetus
- •in whom labor is induced for reasons other than post-term pregnancy,
- •women who came to the hospital in the second stage of labor
- •severe diseases mother or foetus.
Outcomes
Primary Outcomes
Mode of delivery
Time Frame: immediately after delivery
Mode of delivery as measured by number of women who had a vaginal, instrumental or operational delivery.
Secondary Outcomes
- Blood loss(immediately after delivery)
- Difficulty of childbirth(immediately after delivery)
- Duration of delivery(immediately after birth)
- Uterine contractions(during birth)
- Episiotomy(immediately after delivery)
- Methods of placental separation(immediately after delivery)
- Labor progress(during birth)
- Epidural(immediately after delivery)
- Perineum injury(immediately after delivery)