Child Birth
Conditions
Keywords
Birthing room, labour, randomised controlled trial
Brief summary
Healthcare Environment influences health outcomes. The effects of physical aspects of the birthing room on maternal and neonatal outcomes is insufficiently studied. This study will measure and compare effects and experiences of two types of birthing rooms.
Detailed description
Healthcare Environment influences health outcomes. The effects of physical aspects of the birthing room on maternal and neonatal outcomes is insufficiently studied. This RCT project measures and compares effects and experiences of two types of birthing rooms at one Labour ward in Sweden. A qualitative ethnografic studu will assess how women interact with the birthing rooms and its physical objects.
Interventions
OTHERinterventional birthing room
The design of the room is based on scientific evidence on the healthcare environment in general, and on a systematic review on the effect of birthing rooms published by the investigators, and interviews with women early after birth in Sweden. The room has a large birthing pool, several lighting options with dimming function, 40 mm suspended sound absorber in the ceiling, media installation covering two walls, which offers a choice of six different programmed nature scenes with light, sound effect and Music.
Sponsors
Chalmers University of Technology
University of Dublin, Trinity College
Göteborg University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Decreased stress, increased parasympathisuc, increased physiological oxytocin promotes a normal healthy Labour and birth.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* pregnant women * Robson 1 classified, i.e. nulliparous, single Pregnancy \>37 weeks, cephalic presentation, sponatanous Labour start * speak, understand Swedish, English, arabic or somali or have an interpreter present * Active phase of Labour: 2 of these 3 criteria fulfilled: sponatanous rupture of membranes, 2-3 painful contractions in 10 minutes; cervix dilated \>3-4 cm or effaced and open \>1cm
Exclusion criteria
* induced Labour * planned caesarean section * multiple gestation * lack of informed written consent * not Speaking Swedish, Egmnlish, Arabic or Somali
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Composite outcome of four variables - Use of oxytocin (Y/N); Spontaneous vaginal birth (Y/N); Normal postpartum haemorrhage (Y/N); Self-rated childbirth experience | within 2 hours after birth | Use of oxytocin for augmentation of Labour, Spontaneous vaginal birth, normal Postpartum haemorrhage, Childbirth experience |
Countries
Sweden
Contacts
Primary ContactMarie Berg, professor
Backup ContactLisa Goldkuhl, doctoral
Outcome results
None listed