Birth Environment of the Future

February 25, 2019 updated by: Iben Lorentzen, Herning Hospital

Birth Environment of the Future - a Randomised Controlled Study

The main purpose of this study is to explore the impact of the birth environment on women's birth experience and relevant birth outcomes in the experimental Labour room compared to a standard Labour room.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

In the last decade, there has been an increased interest in exploring the impact of the birth environment on midwifery practice and the women's birth experiences. Results from these studies show that a home-like birth environment has positive effects on both midwifery practice and the birth experience. The hormone oxytocin that causes contractions during labour may play an important role in this context. The hormone is released when being in a safe, secure and confident environment. Therefore, it is a reasonable assumption that the birth environment also has an impact on birth outcomes.

To investigate this assumption one traditional labour room was transformed to an experimental labour room. The design of the room is inspired by knowledge from evidence-based healthcare design, which describes bringing nature into the room. Furthermore, it is possible for the parents to design their own birth setting by choosing atmosphere through sound, light and nature scenes.

Study Type

Interventional

Enrollment (Actual)

680

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Herning, Denmark, 7400
        • Department of gynaecology and obstetrics, Herning Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 45 years (ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • primiparas with a singleton pregnancy
  • Gestational age 37-42
  • speaks and understands Danish

Exclusion Criteria:

  • Inducted delivery

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: SUPPORTIVE_CARE
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: SINGLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Birth environment labour room
Supportive care of labour room designed with special attention on sound and light effects, covering medical devices and insulation from outside noise
Light and sound effects, homelike design in furniture and wall paper, sound insulation of walls, covering medical devices in walls, apparatus, and cupboards
Placebo Comparator: Labour in a standard labour room
The woman gives labour in a standard labour room
Light and sound effects, homelike design in furniture and wall paper, sound insulation of walls, covering medical devices in walls, apparatus, and cupboards

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
No. of women receiving oxytocin stimulation during Labour
Time Frame: From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes
No of women augmented with oxytocin drip. The intervention is registered in the electronic patient journal. The duration in time (date,hours,minutes) of oxytocin treatment is registered in the electronic journal log
From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Duration of labour
Time Frame: From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes
Minutes of stay in labour room until delivery is registered in separate data sheet with time of arrival and time of delivery
From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes
Pain relieving interventions
Time Frame: From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes
Interventions with epidural and pudendal analgesia are registered in the electronic patient journal
From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Evaluation of woman-centred care during labour and childbirth
Time Frame: Six weeks after delivery a questionaire is e-mailed to the women
Woman-centred care during labour and childbirth questionnaire
Six weeks after delivery a questionaire is e-mailed to the women
Paternal evaluation of the labour room environment
Time Frame: Two weeks after delivery a questionnaire is e-mailed to the father
Questionaire in process of making
Two weeks after delivery a questionnaire is e-mailed to the father

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Iben Lorentzen, Midwife, Department of Gynecology and Obstetrics at Herning, Denmark
  • Study Chair: Finn F Lauszus, MD, Department of Gynecology and Obstetrics at Herning, Denmark

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2015

Primary Completion (Actual)

June 1, 2018

Study Completion (Actual)

August 1, 2018

Study Registration Dates

First Submitted

March 17, 2015

First Submitted That Met QC Criteria

June 18, 2015

First Posted (Estimate)

June 23, 2015

Study Record Updates

Last Update Posted (Actual)

February 26, 2019

Last Update Submitted That Met QC Criteria

February 25, 2019

Last Verified

February 1, 2019

More Information

Terms related to this study

Other Study ID Numbers

  • fremtidensfødemiljø

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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