Maternal Positioning and Occipitoposterior Fetal Position

NCT ID: NCT01291355

Last Updated: 2014-11-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

438 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2014-10-31

Brief Summary

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The aim of the study is to evaluate the efficacy of a specific maternal position to correct fetal position in occipito-posterior during the labor.

The investigators hypothesize that the maternal position described by the Dr de Gasquet facilitate the rotation in occipito-anterior during the labor.

The calculated sample size is 438 participants (219 in each group)

Detailed Description

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Randomized clinical trial

Conditions

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Maternal Distress in Labor Persistent Occipitoposterior or Occipitoanterior Position Dystocia Fetal Position and Presentation Abnormalities

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Specific maternal position

women allocated to intervention group will be invited to adopt a posture all fours type:"support on the knees, torso tilted forward, back stretched" for a minimum of 10 minutes. A cushion is placed between the legs of the woman to limit the cuts. According to Dr de Gasquet, author of the description of this posture, the effect on the variety of presentation would be almost immediate.

Group Type EXPERIMENTAL

Specific maternal position during the labor

Intervention Type OTHER

women allocated to intervention group will be invited to adopt a posture all fours type:"support on the knees, torso tilted forward, back stretched" for a minimum of 10 minutes. A cushion is placed between the legs of the woman to limit the cuts.

Control

Not specific intervention for this group- Only usual care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Specific maternal position during the labor

women allocated to intervention group will be invited to adopt a posture all fours type:"support on the knees, torso tilted forward, back stretched" for a minimum of 10 minutes. A cushion is placed between the legs of the woman to limit the cuts.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* singleton
* primiparous and multiparous
* Term ≥ 37 weeks
* Labor in dilatation phase (cervix effaced, permeable finger 2 to 9 cm)
* Diagnosis of occipitoposterior variety confirmed by ultrasound

Exclusion Criteria

* Maternal age below 18 years old
* Misunderstanding the French Language
* Full dilatation of the cervix
* Posture evaluated already adopted by the woman during labor
Minimum Eligible Age

18 Years

Maximum Eligible Age

48 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Applied Sciences of Western Switzerland

OTHER

Sponsor Role collaborator

Swiss National Science Foundation

OTHER

Sponsor Role collaborator

University Hospital, Geneva

OTHER

Sponsor Role lead

Responsible Party

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Marie-Julia GUITTIER

RM, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marie-Julia GUITTIER, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospitals of Geneva-Switzerland

Locations

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Maternity of University Hospitals

Geneva, , Switzerland

Site Status

University Hospitals - Maternity

Geneva, , Switzerland

Site Status

Countries

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Switzerland

References

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Guittier MJ, Othenin-Girard V, Irion O, Boulvain M. Maternal positioning to correct occipito-posterior fetal position in labour: a randomised controlled trial. BMC Pregnancy Childbirth. 2014 Feb 24;14:83. doi: 10.1186/1471-2393-14-83.

Reference Type RESULT
PMID: 24564746 (View on PubMed)

Guittier MJ, Othenin-Girard V. [Correcting occiput posterior position during labor: the role of maternal positions]. Gynecol Obstet Fertil. 2012 Apr;40(4):255-60. doi: 10.1016/j.gyobfe.2011.05.006. Epub 2011 Nov 17. French.

Reference Type RESULT
PMID: 22099975 (View on PubMed)

Other Identifiers

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CER10-042

Identifier Type: -

Identifier Source: org_study_id