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| Name | Class |
|---|---|
| The Stig & Ragna Gorthon Foundation, Helsingborg | UNKNOWN |
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The purpose of this study is to determine whether birth on a birthing seat will effect numbers of instrumentally assisted vaginal births, vaginal traumas, blood loss,use of artificial oxytocin for labour augmentation and fetal outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Birth seat group | Experimental | Randomized to birth on a midwife designed birth seat |
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| Non-birth seat group | No Intervention | Randomized to birth in any other position except on the midwife designed birth seat. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BirthRite birthing seat | Device | Randomization takes place on admission to the labor ward when the participants are in active labor.Participants in this arm were to sit on the seat for 20 minute periods.After these 20 minutes, the participant should stand and mobilize during two to three contractions, before resuming the birth seat position. If progress of the descent of the fetal head was obvious the participant was not asked to mobilize. |
| Measure | Description | Time Frame |
|---|---|---|
| Instrumental vaginal births | Instrumental births include vacuum extraction and forceps delivery. | Recorded within 6 hours postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Administration of oxytocin for augmentation of labor | During labor and birth up to 36 hours postpartum | |
| Postpartum blood loss | Blood loss postpartum is weighed and measured and maternal hemoglobin levels are registered. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ingegerd Hildingsson, PhD | Karolinska Institutet | Study Director |
| Linda J Kvist, PhD | Helsingborg Hospital, Sweden | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helsingborgs Hospital | Helsingborg | Skåne County | 25187 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23173988 | Derived | Thies-Lagergren L, Kvist LJ, Christensson K, Hildingsson I. Striving for scientific stringency: a re-analysis of a randomised controlled trial considering first-time mothers' obstetric outcomes in relation to birth position. BMC Pregnancy Childbirth. 2012 Nov 22;12:135. doi: 10.1186/1471-2393-12-135. | |
| 21435238 | Derived |
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| Up to 24 hours after birth |
| Perineal outcomes | Perineal outcomes include vaginal and perineal traumas, episiotomies and perineal edema. | Up to 36 hours after birth |
| Fetal outcomes | Fetal outcomes include Apgar scores, cord blood pH levels and admissions to the NICU. | Up to 36 hours after birth |
| Thies-Lagergren L, Kvist LJ, Christensson K, Hildingsson I. No reduction in instrumental vaginal births and no increased risk for adverse perineal outcome in nulliparous women giving birth on a birth seat: results of a Swedish randomized controlled trial. BMC Pregnancy Childbirth. 2011 Mar 24;11:22. doi: 10.1186/1471-2393-11-22. |