Clinical Trials Logo

Clinical Trial Summary

The factors affecting the rate of primary caesarean section births are complex, and identifying interventions to reduce this rate is challenging. Effective interventions targeting at women are mainly represented by Childbirth training workshops, psychoeducation and psychosocial couple-based programs. Considering non medical interventions targeting mothers, the pattern of breathing during labor that can help for vaginal delivery is a controversial topic. There are no data to support a policy of directed maternal breathing or pushing during vaginal delivery. The abdomino-perineal concept was originally a postpartum rehabilitation technique. Currently, applications are increasing. During labor, expiration channeled by a flow regulator device offers support to women enduring the pain of uterine contractions. During the second stage, the expiratory regulated pushing allows a long, efficient and very intuitive push. The use of this regulated expiratory breathing method was introduced in the study unit in January 2018. Despite a positive experience both reported by women and midwives, investigators have so far only subjective feedback without objective measurable clinical impact. As a result, investigators are conducting this scientific study whose main objective is: - To Evaluate the impact of a regulated expiratory breathing method on childbirth process .


Clinical Trial Description

Rates of cesarean delivery continue to rise worldwide, with recent (2016) reported rates of 24.5% in Western Europe, 32% in North America, and 41% in South America. Primary cesarean deliveries account for more than half of all cesarean deliveries, and the most common indication for repeat cesarean delivery is previous cesarean delivery. Consequently, the reduction in primary cesarean delivery rate represents a meaningful objective. The factors affecting the rate of primary caesarean section births are complex, and identifying interventions to reduce this rate is challenging. Effective interventions targeting at women are mainly represented by Childbirth training workshops, psychoeducation and psychosocial couple-based programs. Considering non medical interventions targeting mothers, the pattern of breathing during labor that can help for vaginal delivery is a controversial topic. There are no data to support a policy of directed maternal breathing or pushing during vaginal delivery. The abdomino-perineal concept was originally a postpartum rehabilitation technique. Currently, applications are increasing. Currently, applications are increasing. During labor, expiration channeled by a flow regulator device offers support to women enduring the pain of uterine contractions. During the second stage, the expiratory regulated pushing allows a long, efficient and very intuitive push. The use of this regulated expiratory breathing method was introduced in the study unit in January 2018. Despite a positive experience both reported by women and midwives, we investigators have so far only subjective feedback without objective measurable clinical impact. As a result, investigators are conducting this scientific study whose main objective is: - To Evaluate the impact of a regulated expiratory breathing method on childbirth process . ;


Study Design


Related Conditions & MeSH terms


NCT number NCT04219631
Study type Interventional
Source University Tunis El Manar
Contact
Status Completed
Phase N/A
Start date February 1, 2020
Completion date March 15, 2021

See also
  Status Clinical Trial Phase
Completed NCT04820296 - Effects of Solution-Oriented Approach on Psychosocial Health, Fear of Childbirth and Postnatal Senses of Security N/A
Completed NCT02886364 - Adapted Safe Childbirth Checklist in Chiapas, Mexico N/A
Completed NCT00727935 - Comparison Of The Analgesia Obtained By Infiltration For The Joinings Of Episiotomies (Liropep) Phase 4
Completed NCT02131090 - A Comparison of Intrapartum Epidural Fixation Devices: A Randomised Controlled Trial N/A
Completed NCT01221051 - Third Stage of Labor a Swedish Randomized Controlled Trial N/A
Completed NCT05216783 - Effect of Motivational Interviews on Childbirth Perception and Childbirth Self-Efficacy N/A
Completed NCT03883529 - Reviewing Birth Experience With a Known Midwife N/A
Recruiting NCT05009433 - HIIT vs MICT During Pregnancy and Health and Birth Outcomes in Mothers and Children N/A
Not yet recruiting NCT05373342 - Feasibility Study to Evaluate the Role of a Novel Device in Childbirth
Completed NCT05662176 - The Effect of Trauma Informed Care in Childbirth N/A
Completed NCT01022697 - Evaluation of the Benefits of Glucose Drinks During Childbirth N/A
Completed NCT00826735 - The Effect of Guided Imagery on the Third Stage of Labor N/A
Completed NCT00439907 - Comparison of Overlap and End-to-end Repair in Anal Sphincter Rupture During Delivery N/A
Recruiting NCT04489602 - Translation and Validation of the French Version of the ObsQoR-10 Questionnaire
Recruiting NCT04989894 - Quality of Recovery After Childbirth
Completed NCT05333653 - Supportive Care During Childbirth and Well-being N/A
Recruiting NCT00116246 - McRoberts Manoeuvre Or Pushing Study (McMOPS) Phase 1
Completed NCT05507307 - The Effect of Mindfulness-Based Pregnancy Education Program on Stress, Birth Fear and Birth Self-Efficacy in Pregnants N/A
Completed NCT00914082 - Mental Training and Childbirth N/A
Not yet recruiting NCT05797363 - The Effect of Continuous Midwife Support on Various Parameters Related to Pregnancy, Childbirth and Postpartum Period N/A