Comparison of maternal and neonatal outcomes between two delivery positions

Comparison of maternal and neonatal outcomes between two delivery positions of hands & knees and lithotomy in hospitalized multiparous women

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20091001002531N5

Enrollment

Registered

2021-11-30

Start date

2021-08-23

Completion date

Unknown

Last updated

2022-01-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Intervention 1: Intervention group1: After full dilatation of cervix, the participant is located in hands and knees position. The researcher records the precise times of full dilatation, spontaneous p

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: History of delivery in lithotomy position normal physical and psychological condition during labor term/single/alive fetus with cephalic presentation without anomalies dilatation of cervix about 8 centimeter fetal weight 2500-4000 gram ability of mother to place in the considered position having no sever obstetrics complications such as sever preeclampsia, placenta abruption

Exclusion criteria

Exclusion criteria: history of cesarean section or uterus surgery contraindication for normal vaginal birth use of epidural analgesia or other medication method of analgesia history of medical and psychological disorders

Design outcomes

Primary

Measure	Time frame
The duration of the second stage of delivery. Timepoint: From the full dilatation to the birth. Method of measurement: The duration of time is measured by chronometer.;The duration of the active phase of the second stage. Timepoint: From the beginning of active pushing till the birth of newborn. Method of measurement: The duration of time is measured by a chronometer.;Duration of the third stage of delivery. Timepoint: From neonate birth to placenta delivery. Method of measurement: The duration of time is measured by a chronometer.;The score of severity of perceived pain in the second stage by mother immediately after cutting cord and after placenta delivery. Timepoint: Immediately after cutting cord and after placenta delivery. Method of measurement: The short form of Macgill pain questionnaire.;The volume of lost blood in the third and fourth stages of delivery. Timepoint: from birth of newborn till one hour after placenta delivery. Method of measurement: The volume of lost blood is measured by a researcher-made scaled reservoir rubber-sheet.;Shoulder dystocia. Timepoint: At birth time. Method of measurement: Observation.;Severity of perineal tear. Timepoint: After placenta delivery. Method of measurement: Observation.;Mother satisfaction. Timepoint: one hour after placenta delivery. Method of measurement: Satisfaction is measured by researcher-made quetionnaire.;Neonatal APGAR score. Timepoint: 1 and 5 minutes after newborn birth. Method of measurement: Observation.;Neonatal need to hospitalization. Timepoint: After newborn birth. Method of measurement: Observation.;Neonatal need to resuscitation. Timepoint: After newborn birth. Method of measurement: Observation.	—

Measure

Time frame

The duration of the second stage of delivery. Timepoint: From the full dilatation to the birth. Method of measurement: The duration of time is measured by chronometer.;The duration of the active phase of the second stage. Timepoint: From the beginning of active pushing till the birth of newborn. Method of measurement: The duration of time is measured by a chronometer.;Duration of the third stage of delivery. Timepoint: From neonate birth to placenta delivery. Method of measurement: The duration of time is measured by a chronometer.;The score of severity of perceived pain in the second stage by mother immediately after cutting cord and after placenta delivery. Timepoint: Immediately after cutting cord and after placenta delivery. Method of measurement: The short form of Macgill pain questionnaire.;The volume of lost blood in the third and fourth stages of delivery. Timepoint: from birth of newborn till one hour after placenta delivery. Method of measurement: The volume of lost blood is measured by a researcher-made scaled reservoir rubber-sheet.;Shoulder dystocia. Timepoint: At birth time. Method of measurement: Observation.;Severity of perineal tear. Timepoint: After placenta delivery. Method of measurement: Observation.;Mother satisfaction. Timepoint: one hour after placenta delivery. Method of measurement: Satisfaction is measured by researcher-made quetionnaire.;Neonatal APGAR score. Timepoint: 1 and 5 minutes after newborn birth. Method of measurement: Observation.;Neonatal need to hospitalization. Timepoint: After newborn birth. Method of measurement: Observation.;Neonatal need to resuscitation. Timepoint: After newborn birth. Method of measurement: Observation.

—

Secondary

Measure	Time frame
Difference between hemoglobin and hematocrit at hospitalization time and 6 hours after birth. Timepoint: hospitalization time and 6 hours after birth. Method of measurement: laboratory test of hemoglobin and hematocrit.;Resuscitation level of neonate. Timepoint: after newborn birth. Method of measurement: observation.	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactTahmineh Dadkhah Tehrani

Esfahan University of Medical Sciences

tdtahmineh@gmail.com+98 31 3792 7596

Outcome results