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| Name | Class |
|---|---|
| Foundation for St. Sophia Specialist Hospital in Warsaw | UNKNOWN |
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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.
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.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| n a | Other | the participants are not subjected to any type of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Mode of delivery | Mode of delivery as measured by number of women who had a vaginal, instrumental or operational delivery. | immediately after delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of delivery | the time of 1,2,3 and 4 stage of labor | immediately after birth |
| Uterine contractions | uterine contractions as measured by number of contractions and assessment of uterine contractile coordination |
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Inclusion Criteria:
Exclusion Criteria:
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women coming to the 3rd level hospital with a birth house. During a physiological pregnancy, with no severe coexisting diseases.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Magdalena Witkiewicz, BA | Contact | 603 404 799 | magdawitkiewicz@o2.pl |
| Name | Affiliation | Role |
|---|---|---|
| Baranowska Baranowska, PhD | Żelazna Medical Centre, LLC | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Żelazna Medical Centre, LLC | Recruiting | Warsaw | Masovian Voivodeship | 01-004 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23929533 | Background | 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. | |
| 17578355 | Background | 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. |
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| during birth |
| Labor progress | Labor progress as measured by assessment of the head insertion, advancement in the birth canal, | during birth |
| Epidural | as measured by epidural or not | immediately after delivery |
| Perineum injury | as measured by number and extent of injury | immediately after delivery |
| Episiotomy | as measured by episiotomy or not | immediately after delivery |
| Methods of placental separation | as measured by number of Duncan or SchultZ methods | immediately after delivery |
| Blood loss | postpartum blood loss (ml) | immediately after delivery |
| Difficulty of childbirth | difficulty of childbirth as measured by subjective assessment of the woman and the midwife | immediately after delivery |
| 26806596 | Background | 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. |
| 26948718 | Background | 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. |
| 26810973 | Background | 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. |