Childbirth Pregnancy and Childbirth
Conditions
Interventions
Patients admitted to the ward for planned vaginal delivery and who study criteria will be approached for recruitment. Written informed consent will be taken. Once participants are about to start the a
Sponsors
University Malaya Medical Centre
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Nulliparous 2. Age =18 years 3. Singleton pregnancy 4. Cephalic presentation 5. No contraindication for vaginal delivery 6. Reassuring fetal status (normal fetal heart rate tracing) 7. About to commence pushing
Exclusion criteria
Exclusion criteria: 1. Patient who is suspected COVID 19 infection or COVID 19 positive 2. Known gross fetal anomaly 3. Planned instrumental delivery to shorten second stage 4. Maternal severe visual impairment 5. History of maladaptive maternal response to visual stimuli provoking e.g., migraine, seizure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured using patient records at the end of the study: 1. Duration of the active second stage of labour which defined as the minutes from the start of biofeedback during active pushing to delivery of fetus 2. Maternal satisfaction with pushing experience during birth | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured using patient records at the end of the study: 1. Birth weight (kg) 2. Umbilical cord arterial blood pH and base excess at birth 3. Health at birth measured using Apgar score at 1 and 5 minute 4. Special care nursery/ neonatal intensive care unit admission during birth admission 5. Indication for neonatal admission 6. Mode of delivery 7. Estimated blood loss during delivery 8. Degree of perineal tear | — |
Countries
Malaysia
Outcome results
None listed