The Gentle Assisted Pushing Study

The Gentle Assisted Pushing Study: a multicentre randomized controlled trial of gentle assisted pushing in the upright posture (GAP) or upright posture alone compared with routine practice to reduce prolonged second stage of labour.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR201502001034448

Enrollment

1145

Registered

2015-02-13

Start date

2015-02-16

Completion date

Unknown

Last updated

2026-09-14

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

Conditions

Pregnancy and Childbirth Delayed second stage of labour

Interventions

GAP (gentle fundal pressure in an upright posture)

Upright posture

Upright posture only

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: ¿ nulliparous women ¿ ¿18 years old ¿ singleton pregnancy ¿ cephalic fetal presentation ¿ gestational age ¿ 35 weeks vaginal delivery anticipated ¿ Undelivered following 15-30 minutes of second stage of labour

Exclusion criteria

Exclusion criteria: ¿ chronic medical conditions, including heart disease, epilepsy, hypertension, diabetes mellitus and renal disease ¿ obstetric complications, including hypertensive disorders of pregnancy, cephalo-pelvic disproportion, antepartum haemorrhage, intra-uterine growth restriction, fetal distress, intra-amniotic infection ¿ refusal of informed consent

Design outcomes

Primary

Measure	Time frame
Mean time from randomization to delivery	—

Countries

South Africa

Contacts

Public ContactMandisa Singata

Deputy Director

mandisa.singata@gmail.com+27 82 420 1743

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026