The project aims to find a relationship between the positioning of the foetus before and during birth and the results of obstetrics and to determine their incidence in the Polish population. The study will be conducted by combining the use of ultrasound diagnostics, midwives observations during childbirth, analysis of medical documentation and a questionnaire on the activity of examined women. The obtained results will be used to prepare guidelines for the birth in a particular foetus position.
The purpose of the examination is to describe the difficulties associated with delivery in a non-optimal position of the fetus. Initial observations show that such childbirth is perceived as difficult by both the women giving birth and the staff. The aim of the study is to describe the level of difficulty of this labor, expressed as the experience of the woman, as well as all the elements that may affect the difficulty of this labor, for example, slower or no progress in labor, disturbances in systolic function, injuries, the need to use epidural anesthesia, increased blood loss.
Study Type
OBSERVATIONAL
Enrollment
300
the participants are not subjected to any type of intervention
Żelazna Medical Centre, LLC
Warsaw, Masovian Voivodeship, Poland
RECRUITINGMode of delivery
Mode of delivery as measured by number of women who had a vaginal, instrumental or operational delivery.
Time frame: immediately after delivery
Duration of delivery
the time of 1,2,3 and 4 stage of labor
Time frame: immediately after birth
Uterine contractions
uterine contractions as measured by number of contractions and assessment of uterine contractile coordination
Time frame: during birth
Labor progress
Labor progress as measured by assessment of the head insertion, advancement in the birth canal,
Time frame: during birth
Epidural
as measured by epidural or not
Time frame: immediately after delivery
Perineum injury
as measured by number and extent of injury
Time frame: immediately after delivery
Episiotomy
as measured by episiotomy or not
Time frame: immediately after delivery
Methods of placental separation
as measured by number of Duncan or SchultZ methods
Time frame: immediately after delivery
Blood loss
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postpartum blood loss (ml)
Time frame: immediately after delivery
Difficulty of childbirth
difficulty of childbirth as measured by subjective assessment of the woman and the midwife
Time frame: immediately after delivery