Effects of a Lateral Position With Hip Flexion and Femoral Internal Rotation During the Second Stage of Labor in Nulliparous Women Receiving... | NCT07745192

NCT07745192

Overview

NCT ID: NCT07745192
Lead Sponsor: Second Affiliated Hospital of Wenzhou Medical UniversityOTHER
Official Title: Effects of a Lateral Position With Hip Flexion and Femoral Internal Rotation During the Second Stage of Labor in Nulliparous Women Receiving Epidural Analgesia
Brief Summary: This randomized clinical study evaluated the effects of a lateral position with hip flexion and femoral internal rotation during the second stage of labor in nulliparous women receiving epidural labor analgesia. Participants were assigned to either an observation group using the modified lateral position or a control group using the conventional lateral position. The study compared second-stage labor duration, additional obstetric interventions, maternal outcomes, perineal outcomes, and neonatal outcomes between the two groups.
Conditions: Delivery, Obstetric
Labor, Obstetric

Status and Timeline

Status: Completed
Last Update Posted: Aug 4, 2026Actual
Start Date: Feb 1, 2025Actual
Primary Completion Date: Dec 30, 2025Actual
Completion Date

Participation Criteria

Ages Eligible for Study: Adult (18-64)
Sexes Eligible for Study: Female
Accepts Healthy Volunteers?: No
Eligibility Criteria: Inclusion Criteria:

Nulliparous women.

Age 22 to 34 years.

Singleton pregnancy.

Cephalic presentation confirmed by ultrasonography after 37 weeks of gestation.

Gestational age of 37 to 41 weeks.

Estimated fetal weight of 2,500 to 3,500 g.

No birth-canal abnormalities on vaginal examination.

Effective epidural labor analgesia during the first stage of labor.

Sufficient cognitive capacity to understand and cooperate with the study procedures.

Ability and willingness to provide written informed consent.

Exclusion Criteria:

Organic heart, liver, or kidney disease.

Prenatal indication for cesarean delivery.

Pubic symphysis separation.

Lower-limb disease or impaired mobility.

Precipitous labor.

Second stage of labor lasting less than 30 minutes.

Severe mental illness.

Fetal malformation.

Withdrawal from the study.

Study Plan

Study Type: Interventional
Phase: Not Applicable
Enrollment: 230Actual
Primary Purpose: Supportive Care
Allocation: Randomized
Interventional Model: Parallel Assignment
Masking

Contacts and Locations

Central Contacts: No data available
Locations: Nanpu Branch of The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University

Similar Studies

Participant Group/Arms

Modified Lateral Position GroupExperimental

Participants in this group adopted a lateral position with hip flexion and femoral internal rotation during the second stage of labor under midwife assistance.

Behavioral: Lateral Position With Hip Flexion and Femoral Internal Rotation

Conventional Lateral Position GroupActive Comparator

Participants in this group adopted the conventional lateral position during the second stage of labor under routine intrapartum care and midwife

Behavioral: Conventional Lateral Position

NCT04469101Unknown status

A Study on the Effect of Position on Walking Labour Epidural Efficacy

NCT02396563Unknown status

Effect of Epidural Analgesia on the Length of Labor and Delivery and Fetal Outcomes

NCT07411352Recruiting

Left Lateral Position vs Supine Position to Reduce Active Labor Duration

NCT05812560Unknown status

Evaluation of a Protocol Posturalchanges in Women Giving Birth With Epidural Analgesia. Clinical Trial.

NCT07663500Recruiting

Integrated Intrapartum Supportive Care and Pushing Strategies in Women Receiving Low-Dose Epidural Analgesia

NCT01982838Terminated

Effects of Analgesic Techniques on Duration of Spontaneously Laboring Patients

NCT02617823Completed

Influence of Maternal Postioning on Spread of Local Anesthetic After Epidural Analgesia

NCT01982851Terminated

Effects of Analgesic Techniques on Duration of Labor for Induction Patients