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Labor Stage, Second clinical trials

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NCT ID: NCT03518684 Completed - Labor Stage, Second Clinical Trials

Obstetrical Gel Use to Shorten Labor and Prevent Lower Genital Tract Trauma

Start date: April 3, 2018
Phase: Phase 4
Study type: Interventional

Recent literature shows that birth injury is associated with postpartum pelvic floor dysfunction (pelvic organ prolapse and fecal and urinary incontinence). Prolonged labor, namely during the 2nd stage, is one of the main obstetric risk factors responsible for anal sphincter rupture and fecal incontinence. In addition, it is associated with increased maternal and neonatal morbidities including increased risk of lower genital tract lacerations. In an effort to shorten labor and decrease lower genital tract trauma many techniques have been investigated. The objective of our study is to investigate whether the use of obstetric gel shortens the first and second stage of labor and exerts a protective effect on the lower genital tract. Neonatal and maternal morbidities will be also assessed. The study design will be a randomized controlled trial of 2 groups, where the patients presenting for vaginal delivery will be randomly assigned to either: - Group 1 who will receive the standard care during labor and delivery - Group 2 who will receive the standard care during labor and delivery with the vaginal application of the obstetrical gel The goal of this randomized controlled study is to compare the length of the first and 2nd stage of labor and the lower genital tract integrity in the 2 groups of patients.

NCT ID: NCT01242293 Completed - Labor Stage, Second Clinical Trials

Intrapartum Hydration

Start date: November 2010
Phase: N/A
Study type: Interventional

The purpose of this study is to determine that maternal hydration during labor with fluids containing glucose at a rate of 125 ml per hour does not affect the duration of labor compared to Ringer Lactate at a rate of 250 ml per hour.