Effect of the Length of Second Stage of Labor in Primigravidae on Maternal & Neonatal Outcomes
NCT02676505 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 434
Last updated 2016-02-08
Summary
The primary purpose of this study is to compare the effects of two different methods of care during the second stage of labor for nulliparous women (coached versus uncoached pushing) on the length of the second stage and how this may affect maternal and neonatal outcome.
Conditions
- The Length of Second Labor Stage in Primigravidae on Maternal & Neonatal Outcomes
Interventions
- BEHAVIORAL
-
Coached pushing group
It includes 217 patients who are admitted in active stage of labor (cervical dilatation 4cm at least) to labor delivery ward. They are coached by the nurse to use closed-glottis and pushing three to four times during each contraction immediately when cervical dilation reached 10 cm and to continue pushing using this method with each contraction until birth. The nurse counts to 10 during each pushing effort to assist the woman in holding her breath for at least 10 seconds.
- BEHAVIORAL
-
uncoached pushing group
It includes 217 patients who are admitted early in active stage of labor (cervical dilatation 4cm at least) to labor delivery ward at 10-cm cervical dilation where they remain until they feel the urge to push or the second stage had lasted 2 hours (whichever came first)., they are encouraged to bear down with contractions without holding their breath (open-glottis) for no more than 6-8 seconds and continue bearing down no more than three times with each contraction until birth. .
Sponsors & Collaborators
-
Kasr El Aini Hospital
lead OTHER
Principal Investigators
-
Kasr El Ainy, hospital · kasr el ainy street,cairo,egypt
Eligibility
- Min Age
- 18 Years
- Max Age
- 35 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2015-11-30
- Primary Completion
- 2016-05-31
- Completion
- 2016-05-31
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