Development of a Multidimensional Predictive Model of Dystocic Labor. Association of Physical Condition and Psychosocial Factors With the Birth Process and Breastfeeding Success.

Development of a Multidimensional Predictive Model of Dystocic Labor (MPM-PD): Pilot Study on the Association of Physical Condition and Psychosocial Factors With the Completion of Labor and the Success of Breastfeeding.

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07635771

Acronym

MPM-PD

Enrollment

420

Registered

2026-06-09

Start date

2026-06-10

Completion date

2027-12-01

Last updated

2026-06-23

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

Conditions

Breastfeeding, Hand Strength, Labor and Childbirth, Labor (Obstetrics)--Complications, Physical Conditioning, Human, Self Efficacy, Tocophobia

Keywords

Labor, Obstetric, Obstetric Labor Complications, Hand Strength, Dynamometry, Physical condition, Tocophobia, Self Efficacy, Breastfeeding

Brief summary

The goal of this observational study is to learn how a pregnant woman's physical fitness and emotional well-being can help predict the type of birth she will have (such as a natural vaginal birth versus a cesarean section or a birth requiring medical assistance). The study focuses on pregnant women in their third trimester (after 28 weeks of pregnancy). The main questions the study aims to answer are: * Can simple tests of physical strength and questions about emotions (like fear of childbirth) help health professionals predict if a birth might have complications or lack of progress? * Do a woman's physical activity and confidence levels during pregnancy affect her ability to successfully breastfeed her baby for up to 6 months? Participants will be asked to: * Perform two simple physical tests during a clinic visit: a hand-grip test (dynamometry test) and a test to see how many times they can stand up from a chair in 30 seconds (Chair Stand Test, CST). * Complete surveys about their daily physical activity (PPAQ-S), their feelings and fears regarding childbirth (WDEQ-A), and how confident they feel about handling the final stage of birth and the pushing phase (CBSEI-16). * Answer brief follow-up phone calls one month and six months after the birth to talk about how breastfeeding is going.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Pregnant women aged 18 years or older * Low-to-moderate risk pregnancy * Singleton pregnancy * Third trimester of pregnancy (\>28 gestational weeks) * Understanding of the official languages * Acceptance and signing of the participant information sheet and informed consent form * Availability of an electronic device to complete the forms

Exclusion criteria

* Medical contraindication for light physical activity * Severe cardio-respiratory or musculoskeletal pathology * Elective cesarean section * Severe fetal malformations

Design outcomes

Primary

Measure	Time frame	Description
Mode of birth	At the time of delivery.	Classification of the birth outcome as either eutocic vaginal birth (spontaneous) or dystocic birth (including instrumental vaginal delivery or unplanned cesarean section).

Secondary

Measure	Time frame	Description
Breastfeeding maintenance.	At 1 month and 6 months postpartum.	Status of exclusive or partial breastfeeding.

Countries

Spain

Contacts

CONTACTAloma Antolí-Forner, Midwife (resident)

aantolif.ebre.ics@gencat.cat977519100

Outcome results