Trial Outcomes & Findings for Effects of Ambulation During First Stage of Labour on Maternal and Neonatal Outcomes (NCT NCT03447015)

NCT ID: NCT03447015

Last Updated: 2024-12-06

Results Overview

Labour duration will be measured in minutes.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

290 participants

Primary outcome timeframe

from 3-4 cm of cervical dilatation until delivery of the child.

Results posted on

2024-12-06

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention
women will be encouraged to ambulate "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking). ambulation: "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).
Control
women will receive usual maternity care.
Overall Study
STARTED
140
150
Overall Study
COMPLETED
95
106
Overall Study
NOT COMPLETED
45
44

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=95 Participants
women will be encouraged to ambulate "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking). ambulation: "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).
Control
n=106 Participants
women will receive usual maternity care.
Total
n=201 Participants
Total of all reporting groups
Age, Customized
<20
10 participants
n=95 Participants
19 participants
n=106 Participants
29 participants
n=201 Participants
Age, Customized
20-29
66 participants
n=95 Participants
79 participants
n=106 Participants
145 participants
n=201 Participants
Age, Customized
30-39
19 participants
n=95 Participants
8 participants
n=106 Participants
27 participants
n=201 Participants
Sex: Female, Male
Female
95 Participants
n=95 Participants
106 Participants
n=106 Participants
201 Participants
n=201 Participants
Sex: Female, Male
Male
0 Participants
n=95 Participants
0 Participants
n=106 Participants
0 Participants
n=201 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Education
illiterate
1 Participants
n=95 Participants
21 Participants
n=106 Participants
22 Participants
n=201 Participants
Education
primary school
11 Participants
n=95 Participants
19 Participants
n=106 Participants
30 Participants
n=201 Participants
Education
secondary school
23 Participants
n=95 Participants
22 Participants
n=106 Participants
45 Participants
n=201 Participants
Education
Diploma
16 Participants
n=95 Participants
22 Participants
n=106 Participants
38 Participants
n=201 Participants
Education
Bachelor
44 Participants
n=95 Participants
22 Participants
n=106 Participants
66 Participants
n=201 Participants
Employment
employed
25 Participants
n=95 Participants
17 Participants
n=106 Participants
42 Participants
n=201 Participants
Employment
not employed
70 Participants
n=95 Participants
89 Participants
n=106 Participants
159 Participants
n=201 Participants
Nationality
Jordanian
85 Participants
n=95 Participants
106 Participants
n=106 Participants
191 Participants
n=201 Participants
Nationality
non Jordanian
10 Participants
n=95 Participants
0 Participants
n=106 Participants
10 Participants
n=201 Participants
monthly Income (Jordanian Dinar)
< 200
16 Participants
n=95 Participants
21 Participants
n=106 Participants
37 Participants
n=201 Participants
monthly Income (Jordanian Dinar)
200-399
11 Participants
n=95 Participants
25 Participants
n=106 Participants
36 Participants
n=201 Participants
monthly Income (Jordanian Dinar)
400-599
57 Participants
n=95 Participants
55 Participants
n=106 Participants
112 Participants
n=201 Participants
monthly Income (Jordanian Dinar)
600 and more
11 Participants
n=95 Participants
5 Participants
n=106 Participants
16 Participants
n=201 Participants
Residence
city
50 Participants
n=95 Participants
38 Participants
n=106 Participants
88 Participants
n=201 Participants
Residence
village
45 Participants
n=95 Participants
68 Participants
n=106 Participants
113 Participants
n=201 Participants
Health insurance
yes
54 Participants
n=95 Participants
55 Participants
n=106 Participants
109 Participants
n=201 Participants
Health insurance
No
41 Participants
n=95 Participants
51 Participants
n=106 Participants
92 Participants
n=201 Participants

PRIMARY outcome

Timeframe: from 3-4 cm of cervical dilatation until delivery of the child.

Labour duration will be measured in minutes.

Outcome measures

Outcome measures
Measure
Intervention
n=95 Participants
women will be encouraged to ambulate "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking). ambulation: "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).
Control
n=106 Participants
women will receive usual maternity care.
Duration of the First Stage of Labour
548.337 minutes
Standard Deviation 62.7841
719.585 minutes
Standard Deviation 86.5829

PRIMARY outcome

Timeframe: from time of 4 cm cervical dilatation to to time of full crvical dilatation

Visual Analogue pain Scale rating from 0 to 10 in which the woman registers the pain perception, considering 0 no pain and 10 the worst pain imaginable.)

Outcome measures

Outcome measures
Measure
Intervention
n=95 Participants
women will be encouraged to ambulate "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking). ambulation: "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).
Control
n=106 Participants
women will receive usual maternity care.
Labour Pain Intensity
participants reporting pain intensity as moderate
26 Participants
9 Participants
Labour Pain Intensity
participants reporting pain intensity as severe
57 Participants
62 Participants
Labour Pain Intensity
participants reporting pain intensity very severe
12 Participants
35 Participants

PRIMARY outcome

Timeframe: 24 to 48 hours after birth.

used analgesics or did not use

Outcome measures

Outcome measures
Measure
Intervention
n=95 Participants
women will be encouraged to ambulate "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking). ambulation: "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).
Control
n=106 Participants
women will receive usual maternity care.
Use of Analgesics
no
51 Participants
24 Participants
Use of Analgesics
yes
44 Participants
82 Participants

PRIMARY outcome

Timeframe: assessed up to child delivery

(defined as normal, vacuum extraction, forceps delivery, or cesarean section)

Outcome measures

Outcome measures
Measure
Intervention
n=95 Participants
women will be encouraged to ambulate "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking). ambulation: "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).
Control
n=106 Participants
women will receive usual maternity care.
Mode of Birth
number of participants who gave birth normal
95 Participants
97 Participants
Mode of Birth
number of participants who gave birth by vacuum
0 Participants
5 Participants
Mode of Birth
number of participants who gave birth bycesarean
0 Participants
4 Participants

PRIMARY outcome

Timeframe: 24 to 48 hours after birth.

Birth satisfaction scale is a Likert-type scale which is scored according to the responses as indicated: I Strongly Agree. 5; I Agree. 4; I Neither Agree or Disagree: 3; • I Disagree.2; • I Strongly Disagree: 1. The scale consists of 30 items, and total number of scores to be obtained from the scale range between 30, and 150 points. As the scores obtained from the scale increase, level of birth satisfaction increases.

Outcome measures

Outcome measures
Measure
Intervention
n=95 Participants
women will be encouraged to ambulate "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking). ambulation: "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).
Control
n=106 Participants
women will receive usual maternity care.
Woman's Satisfaction With the Birth Experience
Satisfied
89 Participants
9 Participants
Woman's Satisfaction With the Birth Experience
dissatisfied
6 Participants
97 Participants

SECONDARY outcome

Timeframe: at 5 min of birth of baby

measured by Apgar score. Apgar score is a method to quickly summarize the health of newborn. The Apgar scale is determined by evaluating the newborn baby on five simple criteria (Appearance, Pulse, Grimace, Activity, Respiration) on a scale from zero to two, then summing up the five values thus obtained. The resulting Apgar score ranges from zero to 10. Scores 7 and above are generally normal, 4 to 6 fairly low, and 3 and below are generally regarded as critically low

Outcome measures

Outcome measures
Measure
Intervention
n=95 Participants
women will be encouraged to ambulate "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking). ambulation: "Ambulation during labour" here will refer to moving from place to place during the first stage of labour that reduces the amount of time a woman spends laying down during this stage (measured by recording the number of minutes spend on walking).
Control
n=106 Participants
women will receive usual maternity care.
Newborn Health Status
Apgar score ≤ 3
2 Participants
13 Participants
Newborn Health Status
Apgar score 4-6
2 Participants
10 Participants
Newborn Health Status
Apgar score ≥7
91 Participants
83 Participants

Adverse Events

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Reham Khresheh

Mutah University

Phone: 0791425992

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place