- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04302090
Changes in Pain Level With the Use of the Regulated Expiratory Method.
Changes in Pain Level With the Use of the Regulated Expiratory Method During Childbirth Process .
Historically, pain management during childbirth has been a primary concern in the obstetric community. In recent decades, childbirth care providers have been witnessing, especially in developed countries, a real revolution in terms of approaches around this unique moment of birth. This is how perinatal professionals are no longer concerned only with medical follow-up and the smooth running of pregnancy or the well-being of the newborn, but also with overall support for women by promoting their active participation in the childbirth process. To this end, several methods of pain management are offered to women during labor. The more documented are: locoregional (epidural) anesthesia and acupuncture. These two methods are rarely available in Tunisian public maternity hospitals where 80% of deliveries are managed. In addition, Childbirth training workshops, psychoeducation and psychosocial couple-based programs are not available in tunisian public maternities. For example, only one public structure offers a painless delivery program at Farhat Hached Sousse hospital.
In consequence, women arriving at the labor room, are largely unaware of the basic principles of childbirth process. They do not know how to manage their pain.
the application of the GUILLARME® method during labor is based on the use of a flow regulating device (Winner Flow + URO-MG®). By regulating the flow of breath during a uterine contraction, it allows better pain management. Despite a positive feedback not only from parturients but also from midwives who practiced this method, actually investigators have only subjective evaluation with no real measurable and objective impact on pain levels during childbirth process. Consequently, investigators are conducting this scientific study whose main objective is:
-To evaluate changes in pain level with the use of regulated expiratory method during childbirth process.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Historically, pain management during childbirth has been a primary concern in the obstetric community. In recent decades,childbirth care providers have been witnessing, especially in developed countries, a real revolution in terms of approaches around this unique moment of birth. This is how perinatal professionals are no longer concerned only with medical follow-up and the smooth running of pregnancy or the well-being of the newborn, but also with overall support for women by promoting their active participation in the childbirth process. To this end, several methods of pain management are offered to women during labor. The more documented are: locoregional (epidural) anesthesia and acupuncture. These two methods are rarely available in Tunisian public maternity hospitals where 80% of deliveries are managed. In addition, Childbirth training workshops, psychoeducation and psychosocial couple-based programs are not available in tunisian public maternities. For example, only one public structure offers a painless delivery program at Farhat Hached Sousse hospital.
In consequence, women arriving at the labor room, are largely unaware of the basic principles of childbirth process. They do not know how to manage their pain.
In order to overcome this situation, we introduced the GUILLARME® method to the obstetric care unit at Mongi Slim la Marsa hospital in January 2018. This method was originally a postpartum abdomino-perineal rehabilitation technique. It allows a functional abdominal rehabilitation by combining a regulated breath in a specific mouthpiece and an abdominal stimulation triggered by this same breath. The use of this method was extended to labor and childbirth. In fact, the application of the GUILLARME® method during labor is based on the use of a flow regulating device (Winner Flow + URO-MG®). By regulating the flow of breath during a uterine contraction, it allows better pain management. Despite a positive feedback not only from parturients but also from midwives who practiced this method, actually investigators have only subjective evaluation with no real measurable and objective impact on pain levels during childbirth process. Consequently, investigators are conducting this scientific study whose main objective is:
-To evaluate changes in pain level with the use of regulated expiratory method during childbirth process.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Tunis
-
La Marsa, Tunis, Tunisia, 2045
- Mongi Slim University Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- women with a Gestational age of at least 30 weeks of amenorrhea
- women with a Normal fetal heart rate before inclusion.
- women having regular uterine contraction before inclusion .
Exclusion Criteria:
- Refusal of participation
- Women requiring epidural anesthesia
- Women in an advanced stage of labor with a cervical dilation upon admission over 3 cm
- A medical contraindication to vaginal delivery .
- Intra uterine fetal demise.
- Previous participation to childbirth training workshops
- Women without regular uterine contraction .
- Gestational term <30 weeks
- fetal heart rate abnormalities
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: pain level changes according to the use of the Winner flow
each included patient will experience :
|
This method was originally a postpartum abdomino-perineal rehabilitation technique.
It allows a functional abdominal rehabilitation by combining a regulated breath in a specific mouthpiece and an abdominal stimulation triggered by this same breath.
The use of this method was extended to labor and childbirth.
In fact, the application of the method during labor is based on the use of a flow regulating device (Winner Flow + URO-MG®).
By regulating the flow of breath during a uterine contraction, it allows better pain management.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
analgesia nociception index
Time Frame: 60 minutes for each participant
|
continuously measured by a monitor during the hole childbirth process. investigators will compare measured indexes during the two periods ( with intervention and without intervention. An index value close to 100 corresponds to a prominent parasympathetic tone (low stress level, analgesia) and a value close to 0 corresponds to a prominent sympathetic tone (high stress level, nociception). In parturients during labor or postoperative awake patients in the recovery room, a negative linear relationship between analgesia nociception index and pain scores is documented. |
60 minutes for each participant
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient's pain management experience
Time Frame: up to 12 hours In deed , For each recruited patient this outcome will be measured in minutes between onset of labor and delivery
|
a questionnair Patient's pain management experience according to the use or no use of the expiration mouthpiece during childbirth process . estimation of Patient's pain management experience according to the use or no use of the expiration mouthpiece during childbirth process . Patient's pain management experience according to the use or no use of the expiration mouthpiece during childbirth process . estimation of patient's pain management experience according to the use or no use of the expiration mouthpiece during childbirth process using a questionnair |
up to 12 hours In deed , For each recruited patient this outcome will be measured in minutes between onset of labor and delivery
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: kaouther dimassi, MD, university tunis el manar , faculty of medicine Tunis, TUNISIA
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- Doloris-Winner-flow-URO-MG
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Childbirth Process
-
Woman's Health University Hospital, EgyptUnknown
-
University of Sao PauloCompletedAlveolar Process
-
Viveve Inc.CompletedVaginal Laxity Following Childbirth | Sexual Function Following ChildbirthCanada, Italy, Japan, Spain
-
Universitaire Ziekenhuizen KU LeuvenCompleted
-
Necmettin Erbakan UniversityCompletedPregnancy | Fear of Childbirth | Postpartum | Childbirth | Psychosocial HealthTurkey
-
University of WarwickUniversity of BirminghamCompleted
-
University Hospital, CaenCompleted
-
Hacettepe UniversityCompletedFear of Childbirth | Mode of Delivery | Motivational Interview | Childbirth Self-efficacyTurkey
-
Northwell HealthNorth Shore University HospitalCompletedIntention - Mental Process | Readmission RatesUnited States
Clinical Trials on Regulated expiratory method
-
Hospices Civils de LyonRecruitingAcute Respiratory Distress SyndromeFrance
-
University of AarhusCentral Denmark Region; Northern Denmark Region; KARL STORZ Endoscopy DenmarkCompleted
-
University of California, San DiegoCompleted
-
Health Department of the Canton of Basel-StadtUniversity of Basel; University Psychiatric Clinics Basel; Psychiatric Services...Active, not recruitingMental Health Disorder | Cannabis Use Disorder | Physical IllnessSwitzerland
-
University of Massachusetts, WorcesterNational Institute on Drug Abuse (NIDA)Recruiting
-
Universidad de MurciaFundación para la Salud Infantil de la Comunidad ValencianaRecruitingDevelopment, Infant | Respiratory Distress Syndrome in Premature InfantSpain
-
Hillel Yaffe Medical CenterUnknown
-
National Cheng Kung UniversityCompletedAbdominal Surgery | Inspiratory Muscle Training | Postoperative Pulmonary Complications | Respiratory Muscle FunctionTaiwan
-
Örebro University, SwedenCompleted
-
Brigham and Women's HospitalTerminated