Normal Delivery Manangment. Vaginal delivery
Conditions
Interventions
Intervention 1: Intervention group: The intervention group, in addition to routine midwifery care (examination, vital signs, and fetal heart rate monitoring), will assume forward-leaning positions alt
Sponsors
Ahvaz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Maternal age between 18 and 40 years. Term pregnancy (37–42 weeks gestation). Singleton pregnancy. Cephalic presentation. Spontaneous onset of labor. Estimated fetal weight between 2500 and 4000 grams. Fetus in occiput posterior (OP) position on initial examination or ultrasound. Women in active phase of labor (cervical dilation =4 cm). Women with parity 1 to 3. Maternal body mass index (BMI) between 18 and 30.
Exclusion criteria
Exclusion criteria: High-risk pregnancies (preeclampsia, diabetes, maternal cardiac or respiratory disease). History of previous cesarean delivery. Presence of severe vaginal bleeding in the mother. Maternal contraindication to movement during labor. Indication for labor induction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rotation of the fetal head from posterior occiput position. Timepoint: At delivery. Method of measurement: Observation and record in check list.;Type of delivery. Timepoint: After delivery. Method of measurement: Observation and record in check list. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of active phase and second stage of labor. Timepoint: Cervix dilatation from 4 centimeter to 10 centimeter for active phase of labor and cervix dilatation from 10 centimeter to delivery of newborn for second stage of labor. Method of measurement: Clinical examination/ Measurement by digital chronometer / record in check list.;Apgar score. Timepoint: At 1 and 5 minutes after birth. Method of measurement: Observation and examination.;Mother satisfaction from delivery. Timepoint: After delivery. Method of measurement: Asking the mother and record in check list.;Frequency use of episiotomy. Timepoint: After delivery. Method of measurement: Observation and record in check list.;Labor Pain intensity. Timepoint: Measurement severity of pain for dilatation of 4; 6; 8 and 10 centimeter and second stage. Method of measurement: By visual analog scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMasoumeh Khabazkhoub
Ahvaz University of Medical Sciences
Outcome results
None listed