Upright Position During First Stage of Labour

Cairo University100 enrolled

Overview

There are several physiological advantages for being upright during labour. These include the effect of gravity on the fetus within the uterus; reduced risk of aorto-caval compression this maximizes uterine blood ﬂow to the placenta and fetus during labour and more efficient contractions which lead to shorter first and second stage of labor. In addition, being upright during labour provide better alignment of the fetus; and increased pelvic outlet when the woman is in squatting and kneeling positions

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

100

Conditions

Effects of Movement

Interventions

assumed upright position during first stage of laborOTHER

The study group assumed one of upright positions during first stage of labor, defined as walking , sitting, standing, kneeling \& squatting positions )

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 35 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Primipara parturient women who admitted to delivery unit; * in early active phase of 1st stage of labor (not more than 4cm), * age between 20-35 years, * had a single, viable, and full term (≥ 37 weeks), * with normal fetal heart rate pattern (120-160 b/min), * fetus in occipto anterior position * free from medical or obstetrical disorders that may interrupt labor progress Exclusion Criteria: * Any women out of inclusion criteria

Locations (1)

Faculty of nursing Cairo university

Cairo, Egypt

Outcomes

Primary Outcomes

Intensity of labor pain assessed by Visual analogue pain intensity scale

Assessment of labor pain assessed by VAS (Visual analogue pain intensity scale ).It is a self-reported 10 cm horizontal line which represented the subjective estimation of pain intensity. It comprised 0-10-point numerical scale, No pain (0), Mild pain (\< 4), Moderate pain (4-6), Sever pain (7-10).

Time frame: during the procedure

duration of first stage of labor

upright position may decrease the duration of first stage of labor

Time frame: during the procedure

Secondary Outcomes

duration of second stage of labor

upright position may decrease the duration of second stage of labor

Time frame: immediately after intervention

fetal outcome

fetal well being through fetal heart rate assessment assessed by CTG (cardio toco graph ) machine

Time frame: during the procedure

Neonatal outcome

neonatal condition after delivery assessed by a standardized APGAR score tool by allocating scores to five simple criteria Activity (Muscle tone), Pulse (Heart rate), Grimace (reflex irritability) Appearance (Skin color) \& Respiratory effort (breathing). A total score (0-3) revealed sever neonatal distress, (4-7) indicated moderate distress \& (8-10) indicated absence of difficulty in adjusting to extra uterine live.

Time frame: immediately after intervention

Data from ClinicalTrials.gov

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