The Swedish Birth Seat Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Skane
-
Helsingborg, Skane, Sweden, 25187
- Helsingborgs hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- nulliparous women who understood the Swedish language sufficiently well to receive information and give informed consent
- a normal pregnancy,singleton fetus in cephalic presentation
- spontaneous onset of labor occurring between gestational weeks 37 + 0 and 41 + 6
- Body Mass Index less (BMI) than thirty
- gestational diabetes not requiring medical treatment
- women who were planning a vaginal birth after a caesarean section (VBAC)
- women induced because of spontaneous rupture of membranes with no spontaneous contractions for longer than twenty-four hours
Exclusion Criteria:
- multiparous women
- birth before gestational week 37
- breech presentation
- maternal BMI more than 30
- multiple pregnancy
- infectious disease
- pre-eclampsia or other conditions requiring medical care
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Birth seat group
Randomized to birth on a midwife designed birth seat
|
Randomization takes place on admission to the labor ward when the participants are in active labor.Participants in this arm were to sit on the seat for 20 minute periods.After these 20 minutes, the participant should stand and mobilize during two to three contractions, before resuming the birth seat position.
If progress of the descent of the fetal head was obvious the participant was not asked to mobilize.
Other Names:
|
|
No Intervention: Non-birth seat group
Randomized to birth in any other position except on the midwife designed birth seat.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Instrumental vaginal births
Time Frame: Recorded within 6 hours postpartum
|
Instrumental births include vacuum extraction and forceps delivery.
|
Recorded within 6 hours postpartum
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Administration of oxytocin for augmentation of labor
Time Frame: During labor and birth up to 36 hours postpartum
|
During labor and birth up to 36 hours postpartum
|
|
|
Postpartum blood loss
Time Frame: Up to 24 hours after birth
|
Blood loss postpartum is weighed and measured and maternal hemoglobin levels are registered.
|
Up to 24 hours after birth
|
|
Perineal outcomes
Time Frame: Up to 36 hours after birth
|
Perineal outcomes include vaginal and perineal traumas, episiotomies and perineal edema.
|
Up to 36 hours after birth
|
|
Fetal outcomes
Time Frame: Up to 36 hours after birth
|
Fetal outcomes include Apgar scores, cord blood pH levels and admissions to the NICU.
|
Up to 36 hours after birth
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Ingegerd Hildingsson, PhD, Karolinska Institutet
- Study Chair: Linda J Kvist, PhD, Helsingborg Hospital, Sweden
Publications and helpful links
General Publications
- Thies-Lagergren L, Kvist LJ, Christensson K, Hildingsson I. Striving for scientific stringency: a re-analysis of a randomised controlled trial considering first-time mothers' obstetric outcomes in relation to birth position. BMC Pregnancy Childbirth. 2012 Nov 22;12:135. doi: 10.1186/1471-2393-12-135.
- Thies-Lagergren L, Kvist LJ, Christensson K, Hildingsson I. No reduction in instrumental vaginal births and no increased risk for adverse perineal outcome in nulliparous women giving birth on a birth seat: results of a Swedish randomized controlled trial. BMC Pregnancy Childbirth. 2011 Mar 24;11:22. doi: 10.1186/1471-2393-11-22.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2009/739
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