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Early Versus Delayed Pushing in the Second Stage of Labor

Cairo University (CU) logo

Cairo University (CU)

Status

Completed

Conditions

Vaginal Delivery

Treatments

Procedure: vaginal delivery

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible.

Full description

Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible.

Oxytocin was allowed in both group and fetus was monitored with CTG.

Enrollment

184 patients

Sex

Female

Ages

18 to 39 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Healthy women
  • Gestational age 36 to 40 weeks
  • singleton pregnancy

Exclusion criteria

  • women indicated for cesarean section
  • Medical complications of pregnancy as hypertensive disorders or Diabetes Mellitus
  • Fetal distress
  • Epidural anaesthesia

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

184 participants in 2 patient groups

Early pushing during vaginal delivery
Active Comparator group
Description:
patients are allowed to push within one hour after full cervical dilatation whether the vertex was visible or not
Treatment:
Procedure: vaginal delivery
Delayed pushingduring vaginal delivery
Active Comparator group
Description:
patients here are asked not to push for maximum of 3 hours or start pushing when the vertex was visible
Treatment:
Procedure: vaginal delivery

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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