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Labor Long clinical trials

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NCT ID: NCT06420453 Completed - Labor Complication Clinical Trials

How Long Can Labor Last? Person Centred Care During Labor to Increase Safety for Women and Newborn

Start date: January 1, 2008
Phase:
Study type: Observational [Patient Registry]

"How long will my labor last" is a very common question for midwives who care for women during birth. To evaluate safe labor duration largely determines management and care during birth. Today a standardized tool is used by midwives to evaluate normal and safe labor called the partograph. The World Health Organization partograph is a decision-making support tool designed to assist midwives in identifying normal labor duration and women at risk of developing complications. The tool guide the use of care interventions intended to mitigate any perceived risks. The partograph has been in use since the 1950ies and has had a profound impact on care and management during labor. Normal labor progression according to the partograph is a linear progression with cervical dilation of 1 centimeter per hour (alert line) and any deviation from this should lead to an intervention.The purpose of this research project is to increase person-centred care during labor. Specifically, we want to provide updated comprehensive information on labor duration and patient safety for reduction of; unnecessary medical interventions during normal labor; morbidity and mortality in the new-born; maternal complications during delivery and the puerperal period.

NCT ID: NCT06387680 Completed - Labor Long Clinical Trials

The Peanut Ball Use on Labor

Start date: January 1, 2023
Phase: N/A
Study type: Interventional

The purpose of this study was to evaluate the effect of using peanut balls during labor on labor memory, labor satisfaction, labor length, and neonatal APGAR scores.

NCT ID: NCT05782816 Recruiting - Labor Long Clinical Trials

Low-Dose Versus High-Dose Oxytocin Dosing for Induction and Augmentation of Labor

Start date: April 17, 2023
Phase: Phase 4
Study type: Interventional

The goal of this clinical trial is to compare oxytocin infusion rates for induction and augmentation of labor in nulliparous women. The main question[s] it aims to answer are: - Does a high dose oxytocin infusion protocol affect length of induction to delivery interval? - Does a high dose oxytocin infusion protocol affect mode of delivery? - Does a high dose oxytocin infusion protocol affect maternal and neonatal outcomes? Participants will be randomized to either low- or high-dose oxytocin groups: - The low dose group will receive an infusion to start at 2 milli-units/min and will be increased by 2 milli-units/min every 20 minutes. The maximum rate of infusion is 40 milli-units/min. - The high dose group will receive an infusion to start at 6 milli-units/min and will be increased by 6 milli-units/min every 20 minutes. Maximum rate of infusion is 40 milli-units/min.

NCT ID: NCT05489315 Recruiting - Labor Long Clinical Trials

Quantifying the Impact of the Peanut Ball on the Duration of the Active Stage of Labor

Start date: July 26, 2021
Phase: N/A
Study type: Interventional

Prolonged labor is associated with adverse maternal and fetal outcomes including infection, postpartum hemorrhage and increased NICU admission. One of the most common indications for cesarean section in the US is prolonged labor. Maternal positioning through labor facilitated by birthing balls is believed to help facilitate labor. Current data is inconclusive on whether or not the use of birthing balls is advantageous in a statistically significant manner. In this prospective randomized controlled trial, participants will be randomly selected to receive either the experimental intervention (repositioning peanut ball during labor) or the control intervention (the standard therapy of traditional repositioning during labor). Primary outcome: Time of active labor to delivery with and without use of the peanut ball. Secondary outcome: Cesarean section frequency.

NCT ID: NCT05276947 Completed - Labor Long Clinical Trials

The Use of Peanut Ball in Labor in Obese Women

Start date: March 21, 2022
Phase: N/A
Study type: Interventional

The purpose of this study is to assess the efficacy of peanut ball use on labor process and maternal, neonatal outcomes in obese pregnant women.

NCT ID: NCT05196841 Completed - Labor Pain Clinical Trials

The Effect of Fatima Ana's Hand on Birth Pain and Duration

Start date: February 1, 2020
Phase: N/A
Study type: Interventional

Research Question: Does the Anastatica Hierochuntica have an effect on labor pain and duration? Methods: This study was planned as a a double blind randomized controlled experimental study. The study was conducted with 60 pregnant women who were randomized between February 2019 and November 2020 at a university and private hospital located in Anatolia, Turkey.

NCT ID: NCT05105893 Completed - Labor Long Clinical Trials

Effect of Date Fruit Consumption in Later Pregnancy

Start date: January 1, 2021
Phase: N/A
Study type: Interventional

EFFECT OF DATE FRUIT CONSUMPTION IN LATER PREGNANCY ON LENGTH OF GESTATION LABOR AND DELIVERY OF NULLIPAROUS WOMEN

NCT ID: NCT05080309 Not yet recruiting - Pregnancy Related Clinical Trials

Effect of Oral Carbohydrate Intake > 44kCal Per Hour During Labour on the Rate of Instrumental Vaginal Delivery

soliso-2
Start date: November 1, 2021
Phase: N/A
Study type: Interventional

Carbohydrate intake during physical exercise improves muscle performance and decreases fatigue. We hypothesized that carbohydrate intake during labor which is a period of significant physical activity can decrease the instrumental vaginal delivery rate. Following Siliso study we found a trend toward a decrease in instrumental vaginal delivery and the mount of carbohydrate intake durong labour. However due to some limitations no clear conclusion could be drawn. The present study is designed to examine the relationship between a high calory oral intake (>44 kCal/hour during labour) and the rate of instrumental delivery.

NCT ID: NCT04771325 Recruiting - Labor Long Clinical Trials

Assessment of the Effectiveness of Continuous Labour Support by a Trained Companion of Choice on Events of Labor and Maternal Satisfaction in the Bugisu Sub Region, Uganda

Start date: December 30, 2019
Phase: N/A
Study type: Interventional

A randomized control trial employing a cross sectional stepped wedge design. Women with anticipated vaginal delivery, receiving usual care for the control group while women receiving usual care plus support from a trained companion will constitute the experimental group. Events and outcomes will then be assessed during and after birth.

NCT ID: NCT04756089 Completed - Labor Pain Clinical Trials

Stimulation Therapy for Inducing Mothers

STIM
Start date: March 13, 2021
Phase: N/A
Study type: Interventional

This is a pilot feasibility and acceptability study of a randomized clinical trial of pregnant women at 36 weeks of gestation and greater randomized to one of two arms at Yale New Haven Hospital: (1) Breast stimulation by hand or with an electronic breast pump (intervention) compared to (2) Exogenous oxytocin intravenous infusion (current standard of care, control). The pilot study will be randomized since one of the goals is to evaluate whether the idea of randomization would be acceptable to patients.