Clinical Implications of Fetal Positioning During Delivery
2021年4月29日 更新者：Barbara Baranowska、Żelazna Medical Centre, LLC
The project aims to find a relationship between the positioning of the foetus before and during birth and the results of obstetrics and to determine their incidence in the Polish population.
The study will be conducted by combining the use of ultrasound diagnostics, midwives observations during childbirth, analysis of medical documentation and a questionnaire on the activity of examined women.
The obtained results will be used to prepare guidelines for the birth in a particular foetus position.
研究概览
详细说明
The purpose of the examination is to describe the difficulties associated with delivery in a non-optimal position of the fetus.
Initial observations show that such childbirth is perceived as difficult by both the women giving birth and the staff.
The aim of the study is to describe the level of difficulty of this labor, expressed as the experience of the woman, as well as all the elements that may affect the difficulty of this labor, for example, slower or no progress in labor, disturbances in systolic function, injuries, the need to use epidural anesthesia, increased blood loss.
研究类型
观察性的
注册 (预期的)
300
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Magdalena Witkiewicz, BA
- 电话号码：603 404 799
- 邮箱：magdawitkiewicz@o2.pl
学习地点
-
-
Mazowieckie
-
Warsaw、Mazowieckie、波兰、01-004
- 招聘中
- Żelazna Medical Centre, LLC
-
接触：
- Baranowska Baranowska, PhD
- 电话号码：509083263
- 邮箱：bbaranowska@gmail.com
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
女性
取样方法
非概率样本
研究人群
women coming to the 3rd level hospital with a birth house.
During a physiological pregnancy, with no severe coexisting diseases.
描述
Inclusion Criteria:
- during childbirth,
- in a single pregnancy,
Exclusion Criteria:
- pelvic position of the fetus
- in whom labor is induced for reasons other than post-term pregnancy,
- women who came to the hospital in the second stage of labor
- severe diseases mother or foetus.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Mode of delivery
大体时间：immediately after delivery
|
Mode of delivery as measured by number of women who had a vaginal, instrumental or operational delivery.
|
immediately after delivery
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Duration of delivery
大体时间：immediately after birth
|
the time of 1,2,3 and 4 stage of labor
|
immediately after birth
|
|
Uterine contractions
大体时间：during birth
|
uterine contractions as measured by number of contractions and assessment of uterine contractile coordination
|
during birth
|
|
Labor progress
大体时间：during birth
|
Labor progress as measured by assessment of the head insertion, advancement in the birth canal,
|
during birth
|
|
Epidural
大体时间：immediately after delivery
|
as measured by epidural or not
|
immediately after delivery
|
|
Perineum injury
大体时间：immediately after delivery
|
as measured by number and extent of injury
|
immediately after delivery
|
|
Episiotomy
大体时间：immediately after delivery
|
as measured by episiotomy or not
|
immediately after delivery
|
|
Methods of placental separation
大体时间：immediately after delivery
|
as measured by number of Duncan or SchultZ methods
|
immediately after delivery
|
|
Blood loss
大体时间：immediately after delivery
|
postpartum blood loss (ml)
|
immediately after delivery
|
|
Difficulty of childbirth
大体时间：immediately after delivery
|
difficulty of childbirth as measured by subjective assessment of the woman and the midwife
|
immediately after delivery
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 学习椅：Baranowska Baranowska, PhD、Żelazna Medical Centre, LLC
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Ahmad A, Webb SS, Early B, Sitch A, Khan K, Macarthur C. Association between fetal position at onset of labor and mode of delivery: a prospective cohort study. Ultrasound Obstet Gynecol. 2014 Feb;43(2):176-82. doi: 10.1002/uog.13189.
- Matsuo K, Shimoya K, Ushioda N, Kimura T. Maternal positioning and fetal positioning in utero. J Obstet Gynaecol Res. 2007 Jun;33(3):279-82. doi: 10.1111/j.1447-0756.2007.00524.x.
- Guittier MJ, Othenin-Girard V, de Gasquet B, Irion O, Boulvain M. Maternal positioning to correct occiput posterior fetal position during the first stage of labour: a randomised controlled trial. BJOG. 2016 Dec;123(13):2199-2207. doi: 10.1111/1471-0528.13855. Epub 2016 Jan 24.
- Choi SK, Park YG, Lee da H, Ko HS, Park IY, Shin JC. Sonographic assessment of fetal occiput position during labor for the prediction of labor dystocia and perinatal outcomes. J Matern Fetal Neonatal Med. 2016 Dec;29(24):3988-92. doi: 10.3109/14767058.2016.1152250. Epub 2016 Mar 7.
- Khan KS. Optimal fetal positioning: a theory in tatters-time to rewrite textbooks. BJOG. 2016 Dec;123(13):2207. doi: 10.1111/1471-0528.13872. Epub 2016 Jan 25. No abstract available.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2021年3月31日
初级完成 (预期的)
2021年6月30日
研究完成 (预期的)
2021年12月30日
研究注册日期
首次提交
2021年3月12日
首先提交符合 QC 标准的
2021年3月19日
首次发布 (实际的)
2021年3月24日
研究记录更新
最后更新发布 (实际的)
2021年4月30日
上次提交的符合 QC 标准的更新
2021年4月29日
最后验证
2021年4月1日
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- PN/29/2020
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
未定
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研究美国 FDA 监管的药品
不
研究美国 FDA 监管的设备产品
不
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