O80 O81 Z38.0 Z38.3 Z38.6 Z37.0 Z37.2 Z37.5
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Mothers: Vaginal live birth in one of the participating obstetrics departments Birth companions: Accompanying a mother in the delivery room from the study population Documentation: Full survey of all live births Midwives: Midwives employed at the participating departments Physicians: Physicians employed at the participating departments
Exclusion criteria
Exclusion criteria: For the maternal survey and the birth companions: Cesarean section birth
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of mothers who report that the final birth position felt appropriate for them: This outcome will be operationalized using the mothers’ survey (arm 1), specifically through the item ‘The final birthing position felt right to me,’ measured on a four-point Likert scale | — |
Secondary
| Measure | Time frame |
|---|---|
| - Proportion of upright birth positions during the second stage of labor (e.g., sitting, squatting, standing, hands-and-knees) - Proportion of operative births (secondary cesarean section and assisted vaginal births, e.g., vacuum extraction, forceps) - Maternal health outcomes (e.g., prolonged second stage of labor, episiotomy, perineal tears, blood loss, subjective pain perception) - Neonatal health outcomes (e.g., APGAR score) - Overall satisfaction with the birth experience | — |
Countries
Germany
Contacts
Forschungsstelle für Gesundheitskommunikation und Versorgungsforschung (CHSR), Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie am Universitätsklinikum Bonn