Labour Pregnancy and Childbirth
Conditions
Interventions
The L-TEL Trial will be an open label, single-centre, pragmatic, randomised control trial (RCT), with a mixed method data collection. Participants will be randomised to receive usual care plus access
Sponsors
Bournemouth University
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Pregnant with a live, healthy, single foetus without known complications 2. Nulliparous (no previous pregnancy >24 weeks gestation) 3. At least 16 years of age at the point of consent 4. Suitable as per Trust guidelines for a spontaneous, vaginal birth at a midwifery-led unit 5. Able to speak and read English for the purpose of informed consent 6. Not requiring antenatal care from a specialist, case-loading midwifery team (a team specifically available for women with complex social needs) 7. Able to access the internet, either on WiFi or on mobile data without unacceptable costs from doing so
Exclusion criteria
Exclusion criteria: 1. Pregnancy with complications (medical, maternal or fetal) that requires birth at the obstetric led unit 2. Multiparous (any previous pregnancy > 24 weeks gestation) 3. Planning for induction or caesarean section birth 4. Unable to speak or read English for informed consent 5. Requiring specialist care from a case-loading midwifery team for complex social needs 6. Unable to access the internet without inappropriate associated costs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Women’s affective experience as determined by the total score of a pre-validated Early Labour Experience Questionnaire (ELEQ) (Janssen and Desmaris 2013) (modified for online use with the author's permission), measured at 7-28 days postnatal | — |
Secondary
| Measure | Time frame |
|---|---|
| A number of secondary, maternal and neonatal clinical outcomes will also be retrospectively collected, by the researcher, from the hospital’s centralised computer system during the 6 week postnatal period following a participant's birth. These outcomes will be: 1. Labour phase (as defined by NICE 2014 guidelines) on admission 2. Place of birth 3. Birth mode (i.e. spontaneous vaginal birth, instrumental assisted birth or operative caesarean section birth) 4. Analgesia use 5. Augmentation of labour (artificial rupture of membranes, intrapartum oxytocin infusion use) 6. Neonatal Apgar scores as assessed at 1 minute and 5 minutes of age 7. Neonatal resuscitation required 8. Breastfeeding at discharge from place of birth | — |
Countries
England, United Kingdom
Outcome results
None listed