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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: 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: 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.

NCT ID: NCT04729426 Completed - Labor Pain Clinical Trials

Birthing Ball (Peanut Ball) Positions

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

In this study, it was aimed to position by using peanut ball, which is a kind of birth ball, in the first stage of delivery in pregnant women who are planned to have vaginal delivery with cephalic admission, who is a primipara, who do not have a risky pregnancy and systemic disease; It will be done to determine the effect on the birth process.

NCT ID: NCT04349722 Completed - Labor Long Clinical Trials

The Effect of Hyoscine-N-butylbromide (HBB, Buscopan) in Augmented Labour Among Primigravidae

Start date: December 1, 2019
Phase: Phase 4
Study type: Interventional

This study compares the duration of active phase of labour in women who received buscopan and those who don't.

NCT ID: NCT04210908 Completed - Labor Long Clinical Trials

Biofeedback for Second Stage of Labor

Start date: April 30, 2020
Phase: N/A
Study type: Interventional

The purpose of this study is to examine whether transperineal ultrasound as visual biofeedback can be used during labor as an effective tool for shortening the second stage of labor and reducing the need for instrumental delivery, in a prospective randomized design.

NCT ID: NCT03520530 Completed - Labor Long Clinical Trials

Mouth Guard Use in the Second Stage of Labor

Start date: May 9, 2018
Phase: N/A
Study type: Interventional

Shortening the second stage of labor, the time spent pushing the baby out, is important for positive mother and infant's outcomes. Lack of progress of labor for any reason is the most common reason for cesarean section in women having their first baby and the second most common reason for cesarean section in women who have already had a baby. In 2014, a large study done across the United States showed increases in complications in both mother and infant when pushing was prolonged, including uterine infection, postpartum hemorrhage, more extensive vaginal tearing, shoulder dystocia, 5 minute Apgar score less than 4, infant admission to Neonatal Intensive Care Unit and neonatal infections. Therefore, the challenge is to consider alternative practices in order to maximize a mother's chance of a vaginal delivery and minimize these associated risks to both mother and baby. Mouth guards are used primarily in contact sports, and have been demonstrated to reduce or prevent injury to the teeth. Additionally, it has been proposed that wearing a mouth guard increases the strength of different muscle groups. A recent randomized controlled pilot study including women with their first pregnancy using a dental support device (DSD) during the second stage of labor evaluated the length of the second stage and outcomes. They found a significant decrease of 38% in the length of pushing time in the group that used a DSD. Additionally, there was a decreased rate of cesarean section in this group, however a p-value was not reported. This study only included 64 patients. A second, larger trial did not find a significant difference in pushing time, however the rate of interventions such as a vacuum or forceps-assisted vaginal delivery and cesarean section were much higher in the control group due to prolonged pushing. The results of the second study are contradictory in nature, yet the researchers do not provide hypotheses into why this may be. It is clear from the previously mentioned studies that further research is needed. Our hypothesis is that using such a device would help women to push more effectively during the second stage of labor thus shortening the time needed to push the baby out and increasing the rate of vaginal delivery. The purpose of this study is to determine whether wearing a mouth guard in the second stage of labor affects the length of the second stage of labor and improves mother & infant outcomes.