Early Diagnosis and Intervention for Fetal Malposition in Active Labor and Its Impact on Mode of Delivery
Recruiting now · Not applicable
Conditions studied: Cesarean Delivery Affecting Fetus, Labor Dystocia, Labor Complication
In brief
The goal of this randomized trial is to test if changing a person's position in labor can increase the chances of delivering their baby vaginally. Specifically, it aims to answer the questions: * In fetuses who are facing upwards (occiput posterior, OP) or sideways (occiput transverse, OT) during labor, does changing the patient's position during active labor to a side-lying posture with a peanut ball increase the chances of them having a successful, spontaneous vaginal delivery? * Does changing the patient's position in active labor affect the position of the baby at the time of delivery? * Do intentional position changes in labor impact patient-perceived autonomy during their labor and delivery experience? Participants will: * Receive an ultrasound during labor to determine the position of their baby * Be asked to adopt a specific position in labor (side-lying with peanut ball) if they are randomized to the study group * Receive additional ultrasounds during labor to assess their baby's position * Fill out a questionnaire about their labor experience following the delivery of their baby
Key facts
- Study ID
- NCT05881629
- Run by
- Women and Infants Hospital of Rhode Island
- People needed
- 200
- Starts
- 2024-05-01
- Expected to finish
- 2026-09-01
- Last updated by the study team
- 2025-09-11
Who can join
Age: 18 and older. Sex: female. Healthy volunteers: accepted.
You may qualify if…
- Maternal age >18
- Term gestation (>37 weeks)
- Singleton pregnancy
- Spontaneous or induced active labor (cervical dilation 6-9cm)
- Epidural anesthesia
- Cephalic fetal presentation, OP/OT position diagnosed by bedside ultrasound
- Continuous external fetal monitoring
- Ability to consent
You may not qualify if…
- Multiple gestations
- Unanesthetized labor
- Known fetal anomalies
- Known intrauterine fetal demise
- Inability to consent
Where it is running
- Women and Infant's Hospital of Rhode Island — Providence, Rhode Island, United States (enrolling)
Full record on ClinicalTrials.gov
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