The Effect Of Sitting Position On The Labor Process (POSİTİON)

Cumhuriyet University

Status: Completed

Conditions: Healthy; Pain; Bleeding

Treatments: Behavioral: Sitting position is used in Experimental Arms 1-2

Study type: Interventional

Funder types: Other

Identifiers

NCT06538545

2022-04/01

Details and patient eligibility

About

This study was conducted to determine the effect of sitting position on the labor process. The randomized controlled experimental study was conducted in the delivery room of Sivas Numune Hospital.

Enrollment: 160 patients

Sex: Female

Ages: 19 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

1. Inclusion Criteria:

   • Age range: 19-35
   • 38-42 weeks of pregnancy
   • No health problems that would prevent the use of sitting position
   • -Amniotic membranes not ruptured
   • Having a singleton pregnancy
   • Fetus in vertex position
   • Labor occurs with normal spontaneous vaginal delivery
   • No diagnosed chronic physical disease
   • No diagnosed psychiatric disease
   • No risky pregnancy, risky delivery and newborn/fetus
   • No communication problems
   • Voluntarily participating in the research

2. Exclusion Criteria:

   • Only women who gave birth at Sivas Sample Hospital were included in the study
   • Women who gave birth more than two times were not included in the study

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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160 participants in 4 patient groups

Arm 1:Vertical Position (Experimental Group-Primiparous)

Experimental group

Description:

All pregnant women in the experimental group were allowed to use a sitting position (sitting and rocking on a pilates ball or sitting on a bed) from the active phase until labor. They were allowed to lie down for 10-15 minutes when they were tired or when monitoring or intervention was needed.

Treatment:

Behavioral: Sitting position is used in Experimental Arms 1-2

Arm 2: Vertical Position (Experimental Group-Multiparous)

Experimental group

Description:

All pregnant women in the experimental group were allowed to use a sitting position (sitting and rocking on a pilates ball or sitting on a bed) from the active phase until labor. They were allowed to lie down for 10-15 minutes when they were tired or when monitoring or intervention was needed.

Treatment:

Behavioral: Sitting position is used in Experimental Arms 1-2

Arm 3: Lithotomy Position (Control Group-Primiparous)

Active Comparator group

Description:

All pregnant women in the control group were followed up with hospital procedures during labor. From the latent phase until labor, the pregnant woman was followed up with hospital procedures. At the end of the latent and active phases, pain assessment was requested and VAS (Appendix 6) was applied. The 2nd and 3rd stages of labor were performed on a normal delivery table in the lithotomy position.

Treatment:

Behavioral: Sitting position is used in Experimental Arms 1-2

Arm 4: Lithotomy Position (Control Group-multiparous)

Active Comparator group

Description:

The hospital procedure was applied to determine the birth rates of all pregnant women in the control group. From the latent stage until the birth, the pregnant woman is followed up by applying the hospital procedure. At the end of the latent and active phases, the alarm results were requested to be evaluated and VAS (Appendix 6) was developed. The 2nd and 3rd stages of labor were performed in the lithotomy positions on the normal delivery table.

Treatment:

Behavioral: Sitting position is used in Experimental Arms 1-2