Prolonged labor. Prolonged first stage (of labor)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women aged 18-35 years, nulliparoue or with 1-2 parous without a history of cesarean section Body mass index 19.8-30 kg/m2 (based on weight of pre-pregnancy or first trimester of pregnancy) A live singleton term fetus (gestational age of 37-41 weeks) in estimated weight 2500 to 4000 g and cephalic presentation Having sufficient literacy to read and understand study questionnaires Spontaneous or non-spontaneous onset of labor process Cervical effacement 40-70% Station -2 to 0
Exclusion criteria
Exclusion criteria: History of infertility Contraindications to vaginal delivery including placental abruption, umbilical cord prolapse, cephalopelvic disproportion (CPD) Fetal heart rate disorders in the pre-intervention stage High risk pregnancy (bleeding in the third trimester, placental abruption, placenta previa, fetal growth disorder, etc.) Risky diseases (such as severe anemia (hemoglobin less than 7 g/dL) or blood disorders, heart disease, lung disease, connective tissue and smooth muscle problems) Unwillingness to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The interval between intervention initiation and childbirth. Timepoint: After delivery. Method of measurement: Timer.;Score of maternal birth experience. Timepoint: One month after delivery. Method of measurement: Childbirth Experience Questionnaire 2.0. | — |
Secondary
| Measure | Time frame |
|---|---|
| Score of birth satisfaction. Timepoint: 12-24 h after childbirth. Method of measurement: Birth satisfaction scale-revised questionnaire.;Pain intensity. Timepoint: A?bout 30 min before the intervention and then 1, 2 and 3 h after starting the intervention. Method of measurement: Visual Analog Scale.;Duration of the second stage of labor. Timepoint: After fetal expulsion. Method of measurement: Timer.;Duration of the third stage of labor. Timepoint: After complete expulsion of the placenta. Method of measurement: Timer.;Bishop Score. Timepoint: Just before the intervention and 2 h after starting the intervention. Method of measurement: Bishop Scoring Table.;Hemoglobin and hematocrit. Timepoint: 12- 24 h after delivery. Method of measurement: Laboratory test.;Childbirth fear. Timepoint: At baseline and two h after starting intervention. Method of measurement: Delivery Fear Scale.;Severity of postpartum fear. Timepoint: 12-24 h and one Month after delivery. Method of measurement: Wijma Version B scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Tabriz University of Medical Sciences