Clinical Implications of Fetal Positioning During Delivery

Study Overview
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Brief Summary
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The project aims to find a relationship between the positioning of the foetus before and during birth and the results of obstetrics and to determine their incidence in the Polish population. The study will be conducted by combining the use of ultrasound diagnostics, midwives observations during childbirth, analysis of medical documentation and a questionnaire on the activity of examined women. The obtained results will be used to prepare guidelines for the birth in a particular foetus position.

Detailed Description
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The purpose of the examination is to describe the difficulties associated with delivery in a non-optimal position of the fetus. Initial observations show that such childbirth is perceived as difficult by both the women giving birth and the staff. The aim of the study is to describe the level of difficulty of this labor, expressed as the experience of the woman, as well as all the elements that may affect the difficulty of this labor, for example, slower or no progress in labor, disturbances in systolic function, injuries, the need to use epidural anesthesia, increased blood loss.

Official Title
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Clinical Implications of Fetal Positioning During Delivery

Conditions
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Fetal Position and Presentation Abnormalities

Intervention / Treatment
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* Other: n a


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: during childbirth, in a single pregnancy, Exclusion Criteria: pelvic position of the fetus in whom labor is induced for reasons other than post-term pregnancy, women who came to the hospital in the second stage of labor severe diseases mother or foetus.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: n a|the participants are not subjected to any type of intervention|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mode of delivery | Mode of delivery as measured by number of women who had a vaginal, instrumental or operational delivery. | immediately after delivery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration of delivery | the time of 1,2,3 and 4 stage of labor | immediately after birth | 
| Uterine contractions | uterine contractions as measured by number of contractions and assessment of uterine contractile coordination | during birth | 
| Labor progress | Labor progress as measured by assessment of the head insertion, advancement in the birth canal, | during birth | 
| Epidural | as measured by epidural or not | immediately after delivery | 
| Perineum injury | as measured by number and extent of injury | immediately after delivery | 
| Episiotomy | as measured by episiotomy or not | immediately after delivery | 
| Methods of placental separation | as measured by number of Duncan or SchultZ methods | immediately after delivery | 
| Blood loss | postpartum blood loss (ml) | immediately after delivery | 
| Difficulty of childbirth | difficulty of childbirth as measured by subjective assessment of the woman and the midwife | immediately after delivery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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fetal malposition, fetal left occiput position, fetal right occiput position