Bladder needs or micturition for nulliparous in labour Pregnancy and Childbirth
Conditions
Interventions
Nulliparous in labour with recent cervical dilatation 4 cm - 8 cm without any sign of second stage are recruited when they have the urge to micturate or palpable bladder, with >300ml of bladder volume
Sponsors
University Malaya Medical Centre
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 29/07/2019: 1. Aged 18 years and above 2. Nulliparous (first labour and no prior delivery beyond 20 weeks of gestation) in labour with recent cervical dilatation (within 2 h) of 4 cm – 8 cm and without any external sign of second stage and rectal pressure 3. Membrane ruptured 4. Singleton live fetus 5. Cephalic presentation 6. Contraction pain of at least 3 in 10 min lasting for at least 15 s 7. Urge to micturate and/or palpable bladder 8. Bladder volume of at least 300 ml by ultrasound scan 9. Participant has not previously experienced using a bedpan or urine catheter to pass urine Previous inclusion criteria: 1. Aged 18 years and above 2. Nulliparous (first labour and no prior delivery beyond 20 weeks of gestation) in labour with recent cervical dilatation (within 2 h) of 4 cm – 8 cm and without any external sign of second stage and rectal pressure 3. Membrane ruptured 4. Singleton live fetus 5. Cephalic presentation 6. Contraction pain of at least 3 in 10 min lasting for at least 15 s 7. Urge to micturate and/or palpable bladder 8. Bladder volume of at least 300 ml by ultrasound scan
Exclusion criteria
Exclusion criteria: 1. Any condition that is contraindicated for vagina delivery (e.g. placenta previa major) 2. Neurological disease involving bladder dysfunction 3. Intact membrane as it can cause inaccuracy of the bladder scan 4. Epidural analgesia in labour 5. History of repeated (>2 during antenatal period) urinary tract infections 6. Lower segment uterine fibroid 7. No indication risk of immediate delivery (external sign of second stage and rectal pressure)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Satisfactory micturition (residual urine volume < 150 ml) is measured using an ultrasound machine prior to and after voiding. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Frequency of in-out catheterization during the first stage of labour. 2. Duration of the second stage of labour (from the onset of full cervical dilatation to delivery of the baby). 3. Number of instrumental delivery (whether patient ends up with instrumental delivery). 4. Number of patients that undergo cesarean section. 5. Estimated blood loss during delivery. 6. Maternal satisfactory is measured using the Scale for Measuring Maternal Satisfaction prior to randomisation and prior to cross-over. | — |
Countries
Malaysia
Contacts
Public ContactChong Wen Kiat
Outcome results
None listed