Pregnancy and labour Pregnancy and Childbirth
Conditions
Interventions
Structured early labour care, defined as: nurse?s assessment of foetal position, emotional status, and pain, followed by individualised interventions, including: positioning techniques, cognitive-beha
Sponsors
University of Toronto (Canada)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Nulliparous, live singleton foetus in cephalic position 2. Mothers aged 18 - 49 years old 3. No contraindications to labour 4. Competent to give informed consent or has a parent/guardian who is competent to give informed consent 5. Experiencing contractions but does not meet criteria for admission to labour and delivery unit
Exclusion criteria
Exclusion criteria: 1. Gestational age less than 34 weeks 2. Planned caesarean delivery 3. Undergoing or admitted for cervical ripening or induction of labour 4. Complications that necessitate admission to antepartum unit or labour and delivery unit 5. Likely to be transferred to labour and delivery with one hour 6. Has a doula or midwife providing continuous support 7. Already enrolled in labour/delivery management study and the study protocols are incompatible
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Spontaneous vaginal delivery, as recorded on the medical record. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Labour and birth without use of intrapartum analgesia/anaesthesia 2. Perineal trauma 3. Costs 4. Women?s evaluation of their care | — |
Countries
Canada
Outcome results
None listed