Delivery Outcomes
Conditions
Keywords
Bundle, Clinical outcomes, Second satge
Brief summary
This study aims to assess the effect of implementing an interdisciplinary practice bundle during second-stage of labor on clinical outcomes.
Interventions
interdisciplinary practices were combined in a bundle framework called (5-Ps) to maintain normal process during labor and prevent unnecessary routine interventions, which are (patience, positioning, physiological resuscitation, progress, and preventing urinary harm). These practices implemented from the beginning of the second stage of labor which is started from onset of complete cervical dilatation (10 cm) until delivery with a duration of 2 hours period.
Sponsors
Study design
Eligibility
Inclusion criteria
* Primiparous women aged greater than 18 years, with normal pregnancy. * ≥ 38 weeks of gestation. * Eligible for normal vaginal delivery
Exclusion criteria
* women with high risk pregnancy. * Women with medical or psychological disorders. * Women suspected to cesarean birth.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1- Fatigue Visual Analogue Scale (VAS-F), | Study recruitment will take 6 months (from the beggining of July to the end of October, 2025) , all women who admitted to the labor and delivery unit at Mansoura University Hospitals, Egypt, were subjected to eligibility screening. | Measurements I. Fatigue Visual Analogue Scale (VAS-F): a five point likert scale to assess fatigue post delivery.It is a self-reported scale consisted of 18 items relating to the subjective experience of fatigue with two subscales, fatigue (items 1-5 and 11-18) and energy (items 6-10). responces from not at all tired to extremely tired. The total score calculated from sum of all items and categorized mild fatigue ranging from 0-3, moderate fatigue ranging from 4-6, and severe fatigue ranging from 7-10. |
| 2- Childbirth Experience Questionnaire (CEQ) | Study recruitment will take 6 months (from the beggining of July to the end of October, 2025) , all women who admitted to the labor and delivery unit at Mansoura University Hospitals, Egypt, were subjected to eligibility screening. | II. Childbirth Experience Questionnaire (CEQ). It is 22 items questionnaire yielded four domains (own capacity, perceived safety, professional support and participation. Scoring: Responses to 19 items were scored using a 4-point Likert scale ranging from 1 (totally disagree) to 4 (totally agree). |