Pregnancy and Childbirth
Conditions
Interventions
All Fours birth position
Sponsors
Sarah Agunda
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: ? Should provide informed consent for the study ? Those with spontaneous onset of labour or on induction of labour ? Those on augmentation of labour ? Foetus in cephalic presentation with a regular reassuring heart rate ? Adequate pelvis on clinical pelvimetry ? Cervical dilation of 6cm and below
Exclusion criteria
Exclusion criteria: ? Medical conditions such as cardiac disease, hypertension, thyroid disease, diabetes ? History of precipitate labour ? Previous pelvic, knee or spinal injuries ? Patients with CPD ? Multiple gestation ? Non reassuring foetal status ? Epidural analgesia ? Mentally ill parturients ? Previous uterine surgeries or trauma such as myomectomies, uterine rupture, uterine inversion ? Parturients with fistula, old perineal tears
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of second stage, incidence of composite adverse maternal outcomes such as perineal tears, postpartum haemorrhage, Caesarean Section (C/S), assisted vaginal deliveries, episiotomies and shoulder dystocia and adverse neonatal outcomes such as low 5 minute APGAR score, resuscitation, and admission to New-Born Unit. | — |
Secondary
| Measure | Time frame |
|---|---|
| Parturients’ perceptions of the birth experince and Healthcare providers’ perceptions of the birth positions. | — |
Countries
Kenya
Contacts
Public ContactSarah Agunda
Senior Resident Obstetrics and Gynaecology
Outcome results
None listed