NCT03121274 - Early Versus Delayed Pushing in the Second Stage of Labor | Crick

Overview

Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible.

Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible. Oxytocin was allowed in both group and fetus was monitored with CTG.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

184

Conditions

Vaginal Delivery

Interventions

vaginal deliveryPROCEDURE

vaginal delivery is carried by an expert obstetrician and the need for forceps or ventose is recorded

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 39 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Healthy women * Gestational age 36 to 40 weeks * singleton pregnancy Exclusion Criteria: * women indicated for cesarean section * Medical complications of pregnancy as hypertensive disorders or Diabetes Mellitus * Fetal distress * Epidural anaesthesia

Locations (1)

Kasr Alainy medical school

Cairo, Egypt

Outcomes

Primary Outcomes

successful vaginal delivery

success of vaginal delivery

Time frame: within 3 hours from full cervical dilatation