Position in the second stage of labour for women without epidural anaesthesia.
Janesh K Gupta, G Justus Hofmeyr, Manjeet Shehmar
https://pubmed.ncbi.nlm.nih.gov/22592681Actively Recruiting
Led by Universidad Nacional Autonoma de Honduras · Updated on 2026-02-13
188
Participants Needed
1
Research Sites
4 weeks
Total Duration
This research aims to compare how the left lateral decubitus position versus the supine position affects the length of the active phase of labor in first-time mothers. The trial focuses on nulliparous women at term with a single baby in head-down position who are in active labor. It seeks to provide local evidence on whether maternal position can influence labor duration and potentially reduce cesarean sections and complications. Participants will be randomly assigned to either lie in the left lateral decubitus position or remain in the supine position. Each position will be maintained in cycles of 30 minutes with 5-minute rest intervals during the active labor phase until delivery. Two groups are compared: the experimental group in the left lateral position and the control group in the supine position. During the study, maternity and newborn outcomes such as the active labor duration, cesarean rates, use of labor medications, maternal complications, and newborn Apgar scores will be recorded. Follow-up includes monitoring until hospital discharge and assessments shortly after birth. Participants are followed from active labor onset until delivery and postpartum recovery, with data collected on labor progression and maternal and neonatal health.
CONDITIONS
Left Lateral Position vs Supine Position to Reduce Active Labor Duration
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - From active labor onset (cervical dilation ≥6 cm) until delivery, within 24 hours
Participants are placed in either the left lateral decubitus position or the supine position during the active phase of labor. Position cycles last 30 minutes with 5-minute rest periods and continue until delivery.
Continuous monitoring during active labor in the hospital
Duration - Approximately 24 to 48 hours postpartum
Participants are monitored for maternal and neonatal outcomes until hospital discharge, approximately 24 to 48 hours postpartum.
1 to 2 visits during postpartum hospital stay
Total: 1 location
1
Hospital Escuela
Tegucigalpa, Francisco Morazán Department, Honduras, 11101
Actively Recruiting
R
Ricardo A. Gutierrez Ramirez, MD, MSc
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Janesh K Gupta, G Justus Hofmeyr, Manjeet Shehmar
https://pubmed.ncbi.nlm.nih.gov/22592681