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| Name | Class |
|---|---|
| University of Applied Sciences of Western Switzerland | OTHER |
| Swiss National Science Foundation | OTHER |
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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)
Randomized clinical trial
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Specific maternal position | Experimental | 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. |
|
| Control | No Intervention | Not specific intervention for this group- Only usual care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Specific maternal position during the labor | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Fetal presentation after the intervention compare to control group | Diagnosis of the fetal presentation will be measured by an ultra-sound one hour after the randomization in both groups: intervention and control | One hour after the randomization for the study |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal comfort and pain sensation | Auto-administrated questionnaire to assess comfort of the maternal position and pain related to the labor, in intervention group and control group | During the hour after the randomization |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marie-Julia GUITTIER, PhD | University Hospitals of Geneva-Switzerland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maternity of University Hospitals | Geneva | 1211 | Switzerland | |||
| University Hospitals - Maternity |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24564746 | Result | 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. | |
| 22099975 | Result | 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. |
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| ID | Term |
|---|---|
| D004420 | Dystocia |
| ID | Term |
|---|---|
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| Geneva |
| 1211 |
| Switzerland |