Relationship between use of protocol of admission process in labor and labor process, interventions and maternal and infant outcom. Single spontaneous delivery
Conditions
Interventions
Intervention 1: Intervention group: A protocol for admission in labour will be used for the intervention group. The protocol consisted of the following key information for diagnosing of active phase:
Intervention group: A protocol for admission in labour will be used for the intervention group. The protocol consisted of the following key information for diagnosing of active phase: a.Existence regu
Control group: The admission of this group of participant women in labour will be solely based on the clinical judgment of midwives or doctors.
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: low risk pregnant women without know medical condition; maternal age: 18-35 years old; first pregnancy; singleton pregnancy; gestational age 38-42 weeks; vertex presentation; regular fetal heart rate; normal BMI (25-19); normal implantation of placenta; no CPD; no history of surgical treatment on uterus; no substance abuse (tobacco, alcohol, heroin, glass); Newborns have no known medical conditions; no congenital abnormalities; no IUGR and macrosomia. Exclusion criterion: Vaginal bleeding more than normal and temperature up to 37/8 ° in admission
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Method of birth. Timepoint: After of delivery. Method of measurement: Observation and record in check list. | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of hospital visits. Timepoint: Site visits to admission. Method of measurement: Of enter to hospital to discharge or admission.;Number of vaginal examinations. Timepoint: During first stage of normal labour. Method of measurement: Observation, record in check list.;Use of continuous electronic fetal monitoring. Timepoint: During first stage of normal labor. Method of measurement: Observation, record in check list.;Medication and analgesics used during labor. Timepoint: During first and second stage of normal labor. Method of measurement: Observation, record in check list.;Use of fundal pressure. Timepoint: During second stage of normal labor. Method of measurement: Observation, record in check list.;Length of Postnatal Stay. Timepoint: During the fourth stage of labo. Method of measurement: Measurement by Digital chronometer, to record in check list.;Perineal and vaginal tears. Timepoint: After of delivery. Method of measurement: Observation, clinical examination, record in check list.;Unplanned out-of-Hospital Birth. Timepoint: After of delivery. Method of measurement: Observation, record in check list.;Apgar score. Timepoint: 1 and 5 minute after of delivery. Method of measurement: Observation, record in check list.;Newborn admission to NICU. Timepoint: After of delivery. Method of measurement: Observation, record in check list.;Postpartum hemorrhage. Timepoint: After childbirth. Method of measurement: Measurement of HG and HCT level by blood sampling 24 h after childbirth.;Mother’s satisfaction of childbirth. Timepoint: Before discharging of hospital. Method of measurement: Macky satisfaction questionnaire.;Artificial rupture of membrane. Timepoint: In Latent phase before complete of dilatation. Method of measurement: Observation, record in check list.;Length of labour. Timepoint: admission time to delivery. Method of measurement: Measurement by Digital chronometer, to record in check list.;Length of first stage of labor. Timepoint: Since the onset of l | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFreshteh Abasian kasegary
Shahid Beheshti University of Medical Sciences
Outcome results
None listed