Maternal Positioning to Correct Occipitoposterior Fetal Position in Labor: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 438
- 试验地点
- 2
- 主要终点
- Fetal presentation after the intervention compare to control group
研究概览
简要总结
The aim of the study is to evaluate the efficacy of a specific maternal position to correct fetal position in occipito-posterior during the labor.
The investigators hypothesize that the maternal position described by the Dr de Gasquet facilitate the rotation in occipito-anterior during the labor.
The calculated sample size is 438 participants (219 in each group)
详细描述
Randomized clinical trial
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 48 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •singleton
- •primiparous and multiparous
- •Term ≥ 37 weeks
- •Labor in dilatation phase (cervix effaced, permeable finger 2 to 9 cm)
- •Diagnosis of occipitoposterior variety confirmed by ultrasound
排除标准
- •Maternal age below 18 years old
- •Misunderstanding the French Language
- •Full dilatation of the cervix
- •Posture evaluated already adopted by the woman during labor
研究组 & 干预措施
Specific maternal position
women allocated to intervention group will be invited to adopt a posture all fours type:"support on the knees, torso tilted forward, back stretched" for a minimum of 10 minutes. A cushion is placed between the legs of the woman to limit the cuts. According to Dr de Gasquet, author of the description of this posture, the effect on the variety of presentation would be almost immediate.
干预措施: Specific maternal position during the labor (Other)
Control
Not specific intervention for this group- Only usual care
结局指标
主要结局
Fetal presentation after the intervention compare to control group
时间窗: One hour after the randomization for the study
Diagnosis of the fetal presentation will be measured by an ultra-sound one hour after the randomization in both groups: intervention and control
次要结局
- Maternal comfort and pain sensation(During the hour after the randomization)
研究者
Marie-Julia GUITTIER
RM, PhD
University of Applied Sciences of Western Switzerland