Prolonged second stage of labor Pregnancy and Childbirth Prolonged second stage (of labour)
Conditions
Interventions
Nulliparous women at term having their first vaginal delivery were randomized to either:
1. Attempted early manual rotation of the fetus or
2. Expectant management
Sponsors
Utah Valley Regional Medical Center
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. At least18 years old 2. Having first vaginal delivery 3. Term gestation (more than 37 weeks gestation) 4. Must have reassuring fetal status and maternal status
Exclusion criteria
Exclusion criteria: 1. Preterm 2. Non reassuring fetal or maternal status 3. Multiparous
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of the second stage of labor - measured in minutes from the time pushing was initiated until delivery of the baby, as documented in the delivery record by labor and delivery nursing staff. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Operative delivery - delivery method recorded as spontaneous vaginal delivery, operative vaginal delivery (forceps or vacuum), or cesarean delivery. 2. 3rd or 4th degree laceration rate - recorded as on the delivery record as assessed by the delivery physician at the time of delivery. All assessed at the time of delivery, recorded by the delivering doctor at the time provider is filling out the delivery record. | — |
Countries
United States of America
Contacts
Public ContactJeff Broberg
Outcome results
None listed