Comparing Birthing Positions during second stage of normal labour
Conditions
Interventions
supine position
Sponsors
Claretian University of Nigeria Management
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: • Participants included primigravida and multigravida women between 37 and 41 weeks of gestation with low-risk pregnancies who met the following criteria: - Spontaneous onset of labour, induction, or augmentation - Fetus in cephalic presentation - Reassuring fetal heart rate - Adequate pelvis on clinical pelvimetry - Willingness to provide informed consent - Singleton pregnancy - No major medical or obstetric complications (e.g., preeclampsia, gestational diabetes, placenta previa) - No history of previous caesarean section - Maternal age 18–44 years
Exclusion criteria
Exclusion criteria: • Multiple pregnancy, non-cephalic presentation. • Known obstetric complications that mandate specific positioning or operative delivery (e.g., placenta praevia, cord prolapse). • Severe preeclampsia/eclampsia, active cardiac disease, or other maternal conditions where upright positioning is contraindicated. • Fetal distress at the time of randomization requiring immediate delivery. • Women who decline randomization • Women below 18 years and above 45years.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| • Mode of delivery: spontaneous vaginal, instrumental (forceps/vacuum), emergency cesarean. • Maternal: perineal trauma (graded 1–4), need for episiotomy, postpartum haemorrhage (blood loss estimate >500 ml), maternal pain score during second stage (validated scale, e.g., Visual Analogue Scale 0–10), maternal satisfaction (postnatal questionnaire within 24–48h). • Neonatal: Apgar score at 1 and 5 minutes; requirement for bag-mask ventilation or advanced resuscitation; NICU admission within 24 hours; birthweight; perinatal morbidity (birth trauma). • Adverse events: maternal falls, cord prolapse, shoulder dystocia, any unexpected serious adverse event (SAE) requiring transfer. | — |
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the time (in minutes) from full cervical dilatation (10 cm) to the delivery of the baby. This will be measured using a standard obstetric timer by the attending midwife or researcher. The duration will be compared between the upright (all-fours) position group and the supine position group to determine whether maternal positioning influences the length of the second stage of labour. | — |
Countries
Nigeria
Contacts
Public ContactLekpa David
General enquiries
Outcome results
None listed