The Effect Of Sitting Position On The Labor Process (POSİTİON)

This study was conducted to determine the effect of sitting position on the labor process. The randomized controlled experimental study was conducted in the delivery room of Sivas Numune Hospital.

Study Overview

• Status: Completed
• Conditions: Pain; Healthy; Bleeding
• Intervention / Treatment: Behavioral: Sitting position is used in Experimental Arms 1-2

• Study Type: Interventional
• Enrollment (Actual): 160
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Sivas, Turkey, 58000
    • Cumhuriyet Universitesi
  • Sivas Merkez
    • Sivas, Sivas Merkez, Turkey, 58000
      • Hilal Güveri

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

1. Inclusion Criteria:

   • Age range: 19-35
   • 38-42 weeks of pregnancy
   • No health problems that would prevent the use of sitting position
   • -Amniotic membranes not ruptured
   • Having a singleton pregnancy
   • Fetus in vertex position
   • Labor occurs with normal spontaneous vaginal delivery
   • No diagnosed chronic physical disease
   • No diagnosed psychiatric disease
   • No risky pregnancy, risky delivery and newborn/fetus
   • No communication problems
   • Voluntarily participating in the research

2. Exclusion Criteria:

   • Only women who gave birth at Sivas Sample Hospital were included in the study
   • Women who gave birth more than two times were not included in the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Arm 1:Vertical Position (Experimental Group-Primiparous); All pregnant women in the experimental group were allowed to use a sitting position (sitting and rocking on a pilates ball or sitting on a bed) from the active phase until labor. They were allowed to lie down for 10-15 minutes when they were tired or when monitoring or intervention was needed.	Behavioral: Sitting position is used in Experimental Arms 1-2; sitting position Comparison of sitting position and lithotomy position in labor; Other Names: Lithotomy position is used in those with Active Comparison Arm 3-4.
Experimental: Arm 2: Vertical Position (Experimental Group-Multiparous); All pregnant women in the experimental group were allowed to use a sitting position (sitting and rocking on a pilates ball or sitting on a bed) from the active phase until labor. They were allowed to lie down for 10-15 minutes when they were tired or when monitoring or intervention was needed.	Behavioral: Sitting position is used in Experimental Arms 1-2; sitting position Comparison of sitting position and lithotomy position in labor; Other Names: Lithotomy position is used in those with Active Comparison Arm 3-4.
Active Comparator: Arm 3: Lithotomy Position (Control Group-Primiparous); All pregnant women in the control group were followed up with hospital procedures during labor. From the latent phase until labor, the pregnant woman was followed up with hospital procedures. At the end of the latent and active phases, pain assessment was requested and VAS (Appendix 6) was applied. The 2nd and 3rd stages of labor were performed on a normal delivery table in the lithotomy position.	Behavioral: Sitting position is used in Experimental Arms 1-2; sitting position Comparison of sitting position and lithotomy position in labor; Other Names: Lithotomy position is used in those with Active Comparison Arm 3-4.
Active Comparator: Arm 4: Lithotomy Position (Control Group-multiparous); The hospital procedure was applied to determine the birth rates of all pregnant women in the control group. From the latent stage until the birth, the pregnant woman is followed up by applying the hospital procedure. At the end of the latent and active phases, the alarm results were requested to be evaluated and VAS (Appendix 6) was developed. The 2nd and 3rd stages of labor were performed in the lithotomy positions on the normal delivery table.	Behavioral: Sitting position is used in Experimental Arms 1-2; sitting position Comparison of sitting position and lithotomy position in labor; Other Names: Lithotomy position is used in those with Active Comparison Arm 3-4.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual analog scale is applied starting from the 1st stage of labor and until the end of the 2nd stage.If the VAS value is 10, it means there is a lot of pain, and if it is 0, it means there is no pain.	The effect of sitting positions of pregnant women in the 38-42nd weeks of pregnancy on the birth process	1 years

Collaborators and Investigators

• Sponsor: Cumhuriyet University

Study record dates

Study Major Dates

• Study Start (Actual): May 2, 2022
• Primary Completion (Actual): November 2, 2022
• Study Completion (Actual): April 4, 2024

Study Registration Dates

• First Submitted: July 24, 2024
• First Submitted That Met QC Criteria: August 2, 2024
• First Posted (Actual): August 5, 2024

Study Record Updates

• Last Update Posted (Actual): August 7, 2024
• Last Update Submitted That Met QC Criteria: August 5, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Keywords: pain; Bleeding; pregnant; labor duration; Sitting Position
• Additional Relevant MeSH Terms: Pathologic Processes; Hemorrhage
• Other Study ID Numbers: 2022-04/01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Yes: There is a plan to make IPD and related data dictionaries available.
• IPD Sharing Time Frame: 1 years
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No