Maternal Positioning and Occipitoposterior Fetal Position

University Hospitals (UH)

Status: Completed

Conditions: Maternal Distress in Labor; Persistent Occipitoposterior or Occipitoanterior Position; Fetal Position and Presentation Abnormalities; Dystocia

Treatments: Other: Specific maternal position during the labor

Study type: Interventional

Funder types: Other

Identifiers

NCT01291355

CER10-042

Details and patient eligibility

About

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)

Full description

Randomized clinical trial

Enrollment: 438 patients

Sex: Female

Ages: 18 to 48 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• singleton
• primiparous and multiparous
• Term ≥ 37 weeks
• Labor in dilatation phase (cervix effaced, permeable finger 2 to 9 cm)
• Diagnosis of occipitoposterior variety confirmed by ultrasound

Exclusion criteria

• Maternal age below 18 years old
• Misunderstanding the French Language
• Full dilatation of the cervix
• Posture evaluated already adopted by the woman during labor

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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438 participants in 2 patient groups

Specific maternal position

Experimental group

Description:

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.

Treatment:

Other: Specific maternal position during the labor

Control

No Intervention group

Description:

Not specific intervention for this group- Only usual care