Childbirth Process
Conditions
Brief summary
To encourage the application the recommended positions of the World Health Organization during normal childbirth and its effect on maternal and labor outcomes
Detailed description
To assess the effects of adopting upright positions (walking, sitting, standing) during first stage of labor. To measure the effect of different individual positions on maternal-fetal outcomes. To determine which position was more comfortable for women.
Interventions
OTHERChoose comfortable position
Standing or walking, Squatting, Sitting, Hands /knees, and Kneeling, positions will be taken by the participant during labor.Then the researcher will register the time ( minutes/hours) will be taken and which that will be more preferable by the participant
Sponsors
Woman's Health University Hospital, Egypt
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Caregiver)
Masking description
The researcher will use the simple randomize technique ( lottery withdrawal) to give the participants the right to pick up one of these positions through three letters will be written in three folded papers and put in an envelope, each letter will refer to a certain method. As soon as chosen of the letter the research will apply the chosen method and explain the benefits of that position/ technique for the participant.
Intervention model description
Random selection based on the woman's preference for certain positions during her first stage of labor.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* aged \> 18 years old with normal pregnancy, primiparas and multi-paras labor cases.
Exclusion criteria
* All high-risk associated factors (Hypertension- DM, Heart disease- renal disease) will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The maternal outcome. | Within labor process | measure labor pain score in each position on pain scale |
| Newborn outcome | At 1 minute and 5 minutes after delivery. | Measure the APGAR score of the newborn related to each position |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| -Increase self-direction of participants through choosing the preferable position | Within labor process | Register the most preferable positions during childbirth process |
| Improve women's satisfaction of childbirth experience | After childbirth process. | measure woman's satisfaction after application of the upright position |
Countries
Egypt
Contacts
Primary ContactHowieda Fouly, PhD
Backup ContactSafaa Helmi, PhD
Outcome results
None listed