Position of the posterior occiput of the fetal head. Obstructed labor due to incomplete rotation of fetal head
Conditions
Interventions
Intervention 1: Intervention group: pelvic movements with birth ball. In the intervention group, from dilation of 4 cm and in case of having three spontaneous contractions of the uterus in ten minutes
Therefore, in left posterior occiput (LOP) fetuses, the direction of pelvic rotation will be to the right (clockwise) and in right posterior occiput (ROP) fetuses, the direction of pelvic rotation wil
Sponsors
Ahvaz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Being interested in participating in the study age of at least 18 years and a maximum of 45 years low-risk pregnancy able to understand the Persian language primiparous and multiparous women singleton fetus in vertex presentation intact membranes not suffering from diseases chronic gestational age 37 to 42 weeks normal pelvic examination (to remove the bias, all examinations will be performed by an experienced person with 20 years of clinical work in the maternity hospital) 4 cm dilation of the cervix having at least three spontaneous uterine contractions of 40 seconds in ten minutes spontaneous start of labor estimation of fetal weight based on late pregnancy ultrasound between 2500 and 4000 grams/ position of the posterior occiput of the fetus during hospitalization in the active phase
Exclusion criteria
Exclusion criteria: previous cesarean Occurrence of any dangerous symptoms that risk labor and require medical intervention Withdrawal at any time from the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of anterior rotation of the fetal head. Timepoint: Every two hours. Method of measurement: Portable ultrasound. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cervical dilatation process. Timepoint: Every two hours. Method of measurement: Vaginal examination.;Cervical effacement process. Timepoint: Every two hours. Method of measurement: Vaginal examination.;First labor stage duration. Timepoint: at end of the first stage. Method of measurement: Partograph.;Labor pain. Timepoint: every 2 hours. Method of measurement: visual analogue scale.;Persistent posterior occiput. Timepoint: At the time of delivery. Method of measurement: observation. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Somayeh Makavndi
Ahvaz University of Medical Sciences
Outcome results
None listed