Different Positions During Childbirth

Study Overview
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Brief Summary
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To encourage the application the recommended positions of the World Health Organization during normal childbirth and its effect on maternal and labor outcomes

Detailed Description
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To assess the effects of adopting upright positions (walking, sitting, standing) during first stage of labor. To measure the effect of different individual positions on maternal-fetal outcomes. To determine which position was more comfortable for women.

Official Title
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Application the Recommended Positions of the World Health Organization During Normal Childbirth and Its Effect on Maternal and Labor Outcomes

Conditions
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Childbirth Process

Intervention / Treatment
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* Other: Choose comfortable position


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged > 18 years old with normal pregnancy, primiparas and multi-paras labor cases. Exclusion Criteria: All high-risk associated factors (Hypertension- DM, Heart disease- renal disease) will be excluded.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Random selection based on the woman's preference for certain positions during her first stage of labor.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Supine position<br>group A ( control ) will follow the hospital routine positions either supine or lateral during labor | |
| Experimental: Upright position<br>Group B (intervention) will follow the Standing or walking, Squatting, Sitting, Hands /knees, and Kneeling, positions. Then the researcher will register the time ( minutes/hours) that will be taken and which will be more preferable by the participant. | Other: Choose comfortable position<br>* Standing or walking, Squatting, Sitting, Hands /knees, and Kneeling, positions will be taken by the participant during labor.Then the researcher will register the time ( minutes/hours) will be taken and which that will be more preferable by the participant<br>* Other names: change position;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The maternal outcome. | measure labor pain score in each position on pain scale | Within labor process | 
| Newborn outcome | Measure the APGAR score of the newborn related to each position | At 1 minute and 5 minutes after delivery. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| -Increase self-direction of participants through choosing the preferable position | Register the most preferable positions during childbirth process | Within labor process | 
| Improve women's satisfaction of childbirth experience | measure woman's satisfaction after application of the upright position | After childbirth process. |