Prevention Clinical Trial
Official title:
The Effects Of Pushing Techniques During Second Stage Of Labour
NCT number | NCT04207658 |
Other study ID # | ERU |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | February 1, 2017 |
Est. completion date | May 20, 2018 |
Verified date | December 2019 |
Source | TC Erciyes University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Purpose :To determine the impact of directed Valsalva's's versus spontaneous pushing
techniques during second stage of labour on postpartum maternal fatigue. .
Methods: The control group participants have an onset of spontaneous pushing when the
cervical dilatation was 6cm while the directed pushing group carried out the Valsalva's
manoeuvre.The data of the study are obtained by utilizing Baseline Obstetric Data Form and
Visual Analogue Fatigue Scale (VAFS). The investigators have done postpartum tests on
perineal tear, hemorrhagia, haemoglobin level, vital findings, blood pH, pO2 and pCO2, and
lactate level for the mother while the neonatal tests of APGAR score for 1st and 5th minutes,
umbilical artery blood pH, pO2 and pCO2 levels are done for the newborn.
Status | Completed |
Enrollment | 145 |
Est. completion date | May 20, 2018 |
Est. primary completion date | November 15, 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Women are accepted in the study on condition that they are aged 18 and more - Primigravida - bearing single foetus between 2500 and 3999gr of birth weight in vertex position - in 38-42 gestation weeks - they must also accept to participate in the study - with a cervical dilatation of 6cm Exclusion Criteria: - obstetrical or medical complications during labour, - expected to have spontaneous vaginal labour with risk factors |
Country | Name | City | State |
---|---|---|---|
Turkey | Evrim Bayraktar | Kayseri | Melikgazi |
Lead Sponsor | Collaborator |
---|---|
TC Erciyes University |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Women with valsalva pushing in upright position during second stage of labor will have proper fetal wellbeing than those with spontaneous pushing stage of labor duration and maternal and fetal arterial blood gas tests. | Just after the birth, mothers are tested for pH, pO2, pCO2 and lactate levels in blood while the newborns are tested for pH, pO2 (mmHg) and pCO2 levels through umbilical artery | 15 minutes from birth | |
Primary | Women with valsalva pushing in upright position during second stage of labor will have proper fetal wellbeing than those with spontaneous pushing stage of labor duration and maternal postpartum hemorrhage | The perineal area is examined for postpartum tears through pad checks. | 24 hours from birth. | |
Primary | Women with valsalva pushing in upright position during second stage of labor will have proper fetal wellbeing than those with spontaneous pushing stage of labor duration and newborn APGAR scores. | 1st min and 5 min APGAR analysis for newborn | 1st min and 5 minutes from birth. | |
Primary | Women with valsalva pushing in upright position during second stage of labor will have proper fetal wellbeing than those with spontaneous pushing stage of labor duration and maternal vital finding. | Vital findings (respiration, pulse and TA) are evaluated prior to their transfer to the delivery room. | 24 hours from birth. | |
Primary | Women with valsalva pushing in upright position during second stage of labor will have proper fetal wellbeing than those with spontaneous pushing stage of labor duration and maternal haemoglobin level. | Blood samples for pre and postpartum haemoglobin level changes are collected. | 6 and 24 hours from birth. | |
Secondary | Women with spontaneous pushing in upright position during second stage of labor will have proper fetal wellbeing than those with valsalva pushing stage of labor duration and maternal haemoglobin level. | Blood samples for pre and postpartum haemoglobin level changes are collected. | 6 and 24 hours from birth. | |
Secondary | Women with spontaneous pushing in upright position during second stage of labor will have proper fetal wellbeing than those with valsalva pushing stage of labor duration and maternal and fetal arterial blood gas tests. | just after the birth, mothers are tested for pH, pO2, pCO2 and lactate levels in blood while the newborns are tested for pH, pO2 (mmHg) and pCO2 levels through umbilical artery | 15 minutes from birth | |
Secondary | Women with spontaneous pushing in upright position during second stage of labor will have proper fetal wellbeing than those with valsalva pushing stage of labor duration and maternal postpartum hemorrhage | The perineal area is examined for postpartum tears through pad checks. | 24 hours from birth. | |
Secondary | Women with spontaneous pushing in upright position during second stage of labor will have proper fetal wellbeing than those with valsalva pushing stage of labor duration and newborn APGAR analysis | 1st min and 5 min APGAR analysis for newborn | 1st min and 5 minutes from birth. | |
Secondary | Women with spontaneous pushing in upright position during second stage of labor will have proper fetal wellbeing than those with valsalva pushing stage of labor duration and maternal Vital findings. | Vital findings (respiration, pulse and TA) are evaluated prior to their transfer to the delivery | 24 hours from birth. |
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