Condition 1: Correction of the posterior occiput position of the fetus. Condition 2: Maternal and neonatal outcomes. Newborn (suspected to be) affected by other malpresentation, malposition and disproportion during labor and delivery
Conditions
Interventions
Intervention 1: Intervention group1: In addition to receiving routine midwifery care, the intervention group is placed in the squat position for 15 minutes per hour alternately based on the mother's r
Sponsors
Ahvaz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: First pregnant women Gestational age according to the first day of the last period and ultrasound of the first trimester of pregnancy equal to 37 weeks or more The position of the fetal head has been diagnosed through 2 vaginal examinations with a minimum interval of 2 hours of the posterior occiput, and when the second vaginal examination confirms the position of the posterior occiput, the posterior occiput should be confirmed by ultrasound Single pregnancy The age range of the mother is between 18 and 40 years Body mass index in the first trimester of pregnancy between 18-30 kg/m2 The mother should be at the beginning of the active phase of labor and in dilatation of 4 cm Bishop score 4 and more
Exclusion criteria
Exclusion criteria: High-risk pregnancies Premature birth The need to induce labor with oxytocin Presence of vaginal bleeding Existence of cases where active movement of the mother during labor is prohibited Amniotic fluid stained with meconium.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correction of the posterior occiput position of the fetus. Timepoint: During intervention until delivery. Method of measurement: Vaginal examination. | — |
Secondary
| Measure | Time frame |
|---|---|
| Frequency of episiotomy. Timepoint: Immediately after vaginal delivery. Method of measurement: Observation registration checklist.;Apgar score of the first and fifth minutes of the baby. Timepoint: The first and fifth minutes after childbirth. Method of measurement: Apgar score is obtained from the total scores of five components: heart rate, respiratory rate, muscle tone, irritability and reflexes, skin color of the baby.;Type of delivery. Timepoint: Immediately after delivery. Method of measurement: Observation registration checklist.;Frequency of third and fourth degree tears. Timepoint: Immediately after vaginal delivery. Method of measurement: Based on the grading of tears and registration in the observation registration checklist.;Severity of labor pain. Timepoint: At the peak of uterine contraction. Method of measurement: Visual pain measurement criteria and McGill questionnaire.;The duration of the active phase of labor. Timepoint: From the beginning of the active phase of the first stage of labor to dilatation of 10 cm. Method of measurement: Based on the minutes and record in the observation registration checklist.;The duration of the second stage of labor. Timepoint: From the dilatation of 10 cm of the cervix to the complete exit of the fetus. Method of measurement: Based on the minutes and record in the observation registration checklist. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNila Norouzi
Ahvaz University of Medical Sciences
Outcome results
None listed