Dystocia, Fetal Position and Presentation Abnormalities, Maternal Distress in Labor, Persistent Occipitoposterior or Occipitoanterior Position
Conditions
Keywords
Maternal position, Occipitoposterior position, Labor, Dystocia, Fetal presentation Abnormalities
Brief summary
The aim of the study is to evaluate the efficacy of a specific maternal position to correct fetal position in occipito-posterior during the labor. The investigators hypothesize that the maternal position described by the Dr de Gasquet facilitate the rotation in occipito-anterior during the labor. The calculated sample size is 438 participants (219 in each group)
Detailed description
Randomized clinical trial
Interventions
OTHERSpecific maternal position during the labor
women allocated to intervention group will be invited to adopt a posture all fours type:support on the knees, torso tilted forward, back stretched for a minimum of 10 minutes. A cushion is placed between the legs of the woman to limit the cuts.
Sponsors
University of Applied Sciences of Western Switzerland
Swiss National Science Foundation
University Hospital, Geneva
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 48 Years
Healthy volunteers
Yes
Inclusion criteria
* singleton * primiparous and multiparous * Term ≥ 37 weeks * Labor in dilatation phase (cervix effaced, permeable finger 2 to 9 cm) * Diagnosis of occipitoposterior variety confirmed by ultrasound
Exclusion criteria
* Maternal age below 18 years old * Misunderstanding the French Language * Full dilatation of the cervix * Posture evaluated already adopted by the woman during labor
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fetal presentation after the intervention compare to control group | One hour after the randomization for the study | Diagnosis of the fetal presentation will be measured by an ultra-sound one hour after the randomization in both groups: intervention and control |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maternal comfort and pain sensation | During the hour after the randomization | Auto-administrated questionnaire to assess comfort of the maternal position and pain related to the labor, in intervention group and control group |
Countries
Switzerland
Outcome results
None listed