Clinical Implications of Fetal Positioning During Delivery

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

UNKNOWN

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-03-31

Study Completion Date

2021-12-30

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Fetal Position and Presentation Abnormalities

Keywords

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fetal malposition fetal left occiput position fetal right occiput position

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Interventions

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n a

the participants are not subjected to any type of intervention

Intervention Type OTHER

Eligibility Criteria

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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.

Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Responsible Party

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Barbara Baranowska

Assistant at Maternity Ward St. Sophia Specialst Hospital in Warsaw, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Baranowska Baranowska, PhD

Role: STUDY_CHAIR

Żelazna Medical Centre, LLC

Locations

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Żelazna Medical Centre, LLC

Warsaw, Masovian Voivodeship, Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Magdalena Witkiewicz, BA

Role: CONTACT

Phone: 603 404 799

Email: [email protected]

Facility Contacts

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Baranowska Baranowska, PhD

Role: primary

References

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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.

Reference Type BACKGROUND

PMID: 23929533 (View on PubMed)

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.

Reference Type BACKGROUND

PMID: 17578355 (View on PubMed)

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.

Reference Type BACKGROUND

PMID: 26806596 (View on PubMed)

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.

Reference Type BACKGROUND

PMID: 26948718 (View on PubMed)

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.

Reference Type BACKGROUND

PMID: 26810973 (View on PubMed)

Other Identifiers

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PN/29/2020

Identifier Type: -

Identifier Source: org_study_id

Clinical Implications of Fetal Positioning During Delivery

Study Results

Basic Information

Brief Summary

Detailed Description

Conditions

Keywords

Study Design

Interventions

n a

Eligibility Criteria

Inclusion Criteria

Exclusion Criteria

Sponsors

Foundation for St. Sophia Specialist Hospital in Warsaw

Żelazna Medical Centre, LLC

Responsible Party

Barbara Baranowska

Principal Investigators

Baranowska Baranowska, PhD

Locations

Żelazna Medical Centre, LLC

Countries

Central Contacts

Magdalena Witkiewicz, BA

Facility Contacts

Baranowska Baranowska, PhD

References

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.

Other Identifiers

PN/29/2020