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Early Versus Delayed Pushing in the Second Stage of Labor

Early Versus Delayed Pushing in the Second Stage of Labor

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03121274
Enrollment
184
Registered
2017-04-20
Start date
2017-08-10
Completion date
2018-09-25
Last updated
2018-11-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Vaginal Delivery

Brief summary

Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible.

Detailed description

Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible. Oxytocin was allowed in both group and fetus was monitored with CTG.

Interventions

PROCEDUREvaginal delivery

vaginal delivery is carried by an expert obstetrician and the need for forceps or ventose is recorded

Sponsors

Cairo University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 39 Years
Healthy volunteers
No

Inclusion criteria

* Healthy women * Gestational age 36 to 40 weeks * singleton pregnancy

Exclusion criteria

* women indicated for cesarean section * Medical complications of pregnancy as hypertensive disorders or Diabetes Mellitus * Fetal distress * Epidural anaesthesia

Design outcomes

Primary

MeasureTime frameDescription
successful vaginal deliverywithin 3 hours from full cervical dilatationsuccess of vaginal delivery

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 15, 2026