Labor Clinical Trial
Official title:
Dental Support Device in the Second Stage of Labor at a Major Tertiary Care Center; A Randomized Controlled Trial
Obstetric practices now allow for prolonged second stage of labor to accomplish vaginal delivery. However, this practice may lead to either operative delivery (vacuum or forceps assisted delivery) or cesarean section with significant maternal/neonatal morbidity. Limited evidence suggests that dental support devices (DSD) may improve lead to shortened labor by allowing patients to push more effectively.
In an effort to reduce the rate of cesarean section, obstetric practices now allow for
prolonged second stage of labor to accomplish vaginal delivery. However, this practice is not
without risks and may lead to either operative delivery (vacuum or forceps assisted delivery)
or cesarean section with significant maternal/neonatal morbidity. Limited evidence suggests
that dental support devices (DSD) may improve maternal valsalva and lead to a shortened
second stage of labor by allowing them to push more effectively. Previous studies have been
underpowered to find statistically significant results.
The Icahn School of Medicine at Mount Sinai has a unique and heterogeneous inner-city
population of laboring mothers with marked rates of maternal obesity. The objective is to
conduct a randomized controlled trial in which nulliparous patients are asked to use the
LaboraideTM, a DSD designed for laboring women, while pushing with contractions in the second
stage of labor.
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