Health Condition 1: O648- Obstructed labor due to other malposition and malpresentation
Conditions
Interventions
Intervention1: Rebozo Technique(Pelvic relaxation)and Knee Chest Position for Rotation of Occiput Posterior Presentation: Participants allocated to the intervention group will receive knee chest mater
Sponsors
Nadeera vp
Eligibility
Inclusion criteria
Inclusion criteria: Pregnant women aged 18 to 35 years Singleton pregnancy Cephalic presentation Occiput posterior position confirmed clinically Gestational age 37 weeks or more In active phase of first stage of labor Willing to provide informed consent
Exclusion criteria
Exclusion criteria: Multiple pregnancy Malpresentation other than occiput posterior Previous cesarean section High risk pregnancy such as preeclampsia, placenta previa, or severe anemia Fetal distress at admission Any contraindication to vaginal delivery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Outcome 1 Rate of rotation from Occiput Posterior OP to Occiput Anterior OA presentation Primary Outcome 2 Mode of delivery Spontaneous vaginal or Instrumental or Cesarean section Timepoint: Assessed before intervention and at full cervical dilatation or at the time of delivery whichever occurs earlier. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of first stage of labour Duration of second stage of labour Maternal satisfaction score Birth Satisfaction Scale Revised postpartum Incidence & grade of perineal tear Type of assisted delivery Forceps or Vacuum or Episiotomy Neonatal outcomes APGAR score at 1 & 5 minutes Fetal heart rate changesTimepoint: For Duration of First Stage of Labour From 4 cm cervical dilatation to full cervical dilatation 10 cm assessed during labour. For Duration of Second Stage of Labour From full cervical dilatation 10 cm to delivery of the baby, assessed during labour Birth Satisfaction Scale Within 24 hours postpartum. APGAR Score At 1 minute & 5 minutes after birth. | — |
Countries
India
Contacts
Public ContactDR M Anbupriya
SRM Institute of Science and Technology (SRM IST) Kattankulathur
Outcome results
None listed