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The goal of this randomized controlled trial is to investigate whether using of coached sonographic pushing will decrease the length of the second stage of labor and the rate of operative deliveries.
Researchers will compare women who undergo the traditional coached pushing to women who undergo visual biofeedback coached pushing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Coached maternal pushing via ultrasound (US) | Experimental | The study group, will have coached pushing using trans-perinal ultrasound (US) performed by the midwife during the active stage of labor, and after diagnosis of complete dilatation. Further, if not delivered within 2 hours of complete dilatation, a third coaching will be conducted. The coaching process in each will be performed for 10 minutes and for at least 3 contractions. In the study group the women will observe the fetal head movements on the screen in front of her. |
|
| Traditional coached maternal pushing | No Intervention | The control group will have the traditional coached pushing (vaginal) performed by a midwide during the active stage of labor, and after diagnosis of complete dilatation. Further, if not delivered within 2 hours of complete dilatation, a third coaching will be conducted. The coaching process in each will be performed for 10 minutes and for at least 3 contractions The women in the controlled group will have the vocal coaching of the midwife during the contractions. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Visual biofeedback using transperineal ultrasound (TPUS) | Other | The intervention (study) arm will recieve coached maternal pushing via transperineal ultrasound (US) with visual biofeedback |
| Measure | Description | Time Frame |
|---|---|---|
| Length of the second stage of labor | To investigate whether using of coached sonographic pushing will decrease the length of the second stage of labor. | At baseline |
| Mode of delivery | To investigate whether using of coached sonographic pushing will affect the rate of operative deliveries. | At baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal outcomes | Maternal 3rd or 4th degree tear rate, postpartum hemorrhage rates | At baseline |
| Neonatal Outcomes | Neonatal cord PH |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaplan Medical Center | Rehovot | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29532533 | Background | Bellussi F, Alcamisi L, Guizzardi G, Parma D, Pilu G. Traditionally vs sonographically coached pushing in second stage of labor: a pilot randomized controlled trial. Ultrasound Obstet Gynecol. 2018 Jul;52(1):87-90. doi: 10.1002/uog.19044. Epub 2018 May 30. | |
| 29155474 | Background | Gilboa Y, Frenkel TI, Schlesinger Y, Rousseau S, Hamiel D, Achiron R, Perlman S. Visual biofeedback using transperineal ultrasound in second stage of labor. Ultrasound Obstet Gynecol. 2018 Jul;52(1):91-96. doi: 10.1002/uog.18962. Epub 2018 May 29. |
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| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| At baseline |
| Neonatal Outcomes | Apgar score less than 7 in 5 minutes. | At baseline |