Operative vaginal delivery Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. A birth companion was already present during the labour 2. Birth companion willing to be present at operative vaginal delivery if so randomised 3. Singleton pregnancy 4. Term gestation >36 weeks 5. Age =18 years 6. Able to communicate in Malay or English 7. Final inclusion criteria: Women who required operative vaginal delivery
Exclusion criteria
Exclusion criteria: 1. Breech presentation 2. Intrauterine death 3. Participants who refused to be accompanied by their birth companions for operative vaginal delivery 4. Major fetal anomaly
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Satisfaction with the operative vaginal birth experience, scored using the 0-10 numerical rating scale [NRS], a low score indicating less satisfaction within 24 hours of delivery, by the: 1. Participant 2. Birth companion 3. Surgeon-care provider Recorded at a single timepoint right after delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| Recorded at a single timepoint right after delivery: 1. Time it takes to deliver (insertion of the instrument to delivery of the baby as recorded in the medical record) 2. Mode of delivery (as recorded in the medical record) 3. Change of instrument for operative delivery (as recorded in the medical record) 4. Perineal injury sustained (as recorded in the medical record) 5. Estimated delivery blood loss (as recorded in the medical record) 6. Perineal pain on movement on Day 1 measured with a 0-10 NRS (obtained the day following delivery) 7. Neonatal outcomes: 7.1. Apgar score at 1 and 5 minutes (as recorded in the medical record) 7.2. Umbilical cord artery pH and base excess (as recorded in the medical record) 7.3. Neonatal injury (as recorded in the medical record) 7.4. Neonatal admission and indication (as recorded in the medical record) 7.5. Time to first satisfactory breastfeeding episode (maternally self-defined, time and date recorded as soon as soon as reported) | — |
Countries
Malaysia