Labor Long
Conditions
Keywords
Peanut ball
Brief summary
The purpose of this study is to assess the efficacy of peanut ball use on labor process and maternal, neonatal outcomes in obese pregnant women.
Detailed description
After being informed about the study, all participants giving written informed consent, on the active phase of labor (cervical dilatation = 5 cm), the pregnant women in the experimental group will be provided with a position change lasting at least 30 minutes every hour with a peanut ball. The peanut ball will be used with a sheath that is changed for each participant. Pregnant women in the control group will be included in the study during the active phase of labor (cervical dilatation = 5 cm). No intervention will be made by the researcher. They will receive standard care by the service nurse.
Interventions
OTHERposition with peanut ball
The experimental group will be positioned with the peanut ball until the end of the active phase of labor.
Sponsors
Gulhane Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
There will be an intervention group and a control group.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Admitted for delivery * Maternal BMI \> 30kg/m2 at admission * Gestational age \> 37 weeks 0 days * Singleton pregnancy * Cephalic presentation * Cervical dilatation less than 5 cm * Turkish speaking
Exclusion criteria
* Pre-pregnancy BMI \< 30kg/m2 * Gestational age \< 37 weeks 0 days * Multifetal gestation * Intrauterine fetal demise * Musculoskeletal problems * Receiving magnesium sulfate * High risk pregnancies (Preeclampsia/eclampsia, cholestasis, intrauterine growth retardation, fetal anomaly, polyhydramnios or oligohydramnios)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Labor time | From 5 cm of cervical dilatation to the second stage of labor | The primary outcome measure is the length of first stage (active phase) and second stage of labor in obese pregnant women. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Operative vaginal delivery rate | From 5 cm of cervical dilatation to the expulsion phase of labor | Forceps/vacuum |
| Type of delivery | From 5 cm of cervical dilatation to the expulsion phase of labor | Cesarean section or vaginal delivery |
| Pain level | Latent phase, active phase and at cervical dilatation 10 cm (on contractions) | Visual Analog Scale (VAS) is used to convert some values that cannot be measured numerically. Two end definitions of the parameter to be evaluated are written at the two ends of a 10 cm line, and the patient is asked to indicate where on this line their situation is appropriate by drawing a line or by placing a dot or pointing. For example, for pain, I have no pain at one end and very severe pain at the other end and the patient marks his/her current state on this line. The length of the distance from the point where there is no pain to the point marked by the patient indicates the patient's pain (0: no pain 10: severe pain) |
| Neonatal complications | From 5 cm of cervical dilatation to the expulsion phase of labor | APGAR score, need for neonatal intensive care. For the Apgar score, five symptoms are checked, including respiration, heart rate, color, tone, and response to stimuli. Each symptom is scored as 0, 1, or 2. The baby is scored as '0' if there is no breathing or heartbeat, his color is pale or cyanotic, his tone is loose, and he does not respond to the stimulus given by inserting the catheter into the nose. |
| Birth satisfaction | Postpartum first hour | Birth Satisfaction Scale A minimum of 30 and a maximum of 150 points are obtained from the scale. The higher the score, the higher the level of satisfaction. |
| Maternal complications | From 5 cm of cervical dilatation to the expulsion phase of labor | Perineal laceration and atony |
Countries
Turkey (Türkiye)
Outcome results
None listed