Pregnant People
Conditions
Interventions
This is a two-arm, open-label, randomized controlled clinical trial. Experimental group: composed of 37 laboring women with a fetus in the mid-pelvis (DeLee stations -1 to +1), who will perform the Sp
Sponsors
Universidade Federal de Santa Catarina
hospital de clínicas da Universidade Federal do Paraná
Levatrice
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Pregnant women aged 18 years or older; Pregnancy with a gestational age of 37 weeks or more;Singleton pregnancy with the fetus in a cephalic presentation; Nulliparous pregnant women with intact or ruptured amniotic membranes in spontaneous labor; Pregnant women with the fetus in the mid-pelvic plane, i.e., at De Lee stations -1, 0, or +1.
Exclusion criteria
Exclusion criteria: Pregnant women with a history of practicing Spinning Babies® within the last 24 hours; pregnant women who have undergone any type of pharmacological induction; pregnant women with any communication or comprehension barriers regarding the Portuguese language; pregnant women with physical limitations or contraindications that prevent them from performing Spinning Babies® exercises; and pregnant women accompanied by doulas.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| evaluate differences in the duration of labor in hours (interval between the diagnosis of the active phase of labor by the research team and birth), according to the criteria adopted by the institution for diagnosing active labor (uterine contractions leading to cervical dilation >5 cm, with the presence of 3 to 4 contractions every 10 minutes). | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate differences between groups in the progression to the next pelvic level at the first vaginal examination after randomization, defined as the percentage of parturients whose DeLee station observed at the second examination was recorded as below +1.;To evaluate differences between groups in the progression of cervical dilation at the first vaginal examination after randomization, defined as the rate of dilation (cm/hour) between randomization and birth.;To evaluate differences between groups in the frequency of fetal malposition in the mid-pelvis, defined as the occurrence of any of the following situations recorded after randomization: asynclitism, occiput sacrum or occiput posterior position, first-, second-, or third-degree deflexion, or persistence of the same transverse or posterior position in two consecutive assessments.;To evaluate differences between groups in the use of interventions for labor augmentation, defined as the use of amniotomy and/or oxytocin.;To evaluate differences between groups in the rate of transfer to shared care with an obstetrician.;To evaluate differences between groups in the use of intrapartum pharmacological analgesia, defined as the actual use of epidural analgesia, spinal analgesia, combined spinal-epidural block, or systemic analgesia (for example, with opioids).;To evaluate differences between groups in the rate of spontaneous, intervention-free birth, defined as vaginal birth occurring without the use of oxytocin, amniotomy, pharmacological analgesia, vacuum extraction, or forceps.;To evaluate differences between groups in the cesarean section rate.;To evaluate differences between groups in the rate of assisted vaginal delivery (vacuum or forceps).;To evaluate differences between groups in the composite neonatal outcome, defined as the occurrence of at least one of the following events: 5-minute Apgar score <7, need for neonatal resuscitation in the delivery room, or transfer to the neonatal intensive care unit aft | — |
Countries
Brazil
Contacts
Public ContactSoliane Scapin
Universidade Federal de Santa Catarina
Outcome results
None listed