Actively Recruiting
Scheduled Positioning With a Peanutball(SPP) on Labor Outcomes Among Primiparous Women Under Epidural Analgesia
Led by Hamad Medical Corporation · Updated on 2026-01-12
110
Participants Needed
1
Research Sites
25 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Brief Summary The goal of this clinical trial is to evaluate whether scheduled maternal position changes using a peanut birthing ball improve labor outcomes in low-risk, primiparous women receiving epidural analgesia during labor. The main questions it aims to answer are: Does scheduled maternal positioning with a peanut ball reduce the duration of the first and second stages of labor? Does scheduled maternal positioning with a peanut ball influence mode of delivery and maternal and neonatal outcomes? This non-invasive randomized controlled trial will be conducted at the Women's Wellness and Research Center in Qatar. Participants will be randomly assigned to either an intervention group receiving scheduled maternal position changes using a peanut birthing ball or a control group receiving standard intrapartum care without peanut ball use. Researchers will compare outcomes between the two groups to determine whether structured positioning with a peanut ball improves labor progression and delivery outcomes in women receiving epidural analgesia. Participants in the intervention group will undergo scheduled position changes throughout labor using a peanut birthing ball, including left lateral, right lateral, semi-sitting, and Taylor positions, under the supervision of trained nursing and midwifery staff. Participants in the control group will receive routine intrapartum care following epidural analgesia without the use of a peanut ball or a structured positioning schedule. Primary maternal outcomes include duration of the first and second stages of labor, mode of delivery, estimated blood loss, postpartum hemorrhage, use of oxytocin augmentation, degree of perineal trauma, and hospitalization cost. Neonatal outcomes include Apgar scores at 5 and 10 minutes, NICU admission, birth-related injuries, and umbilical cord blood pH. Findings from this study are expected to support evidence-based intrapartum care practices and inform clinical protocols for women receiving epidural analgesia.
CONDITIONS
Official Title
Scheduled Positioning With a Peanutball(SPP) on Labor Outcomes Among Primiparous Women Under Epidural Analgesia
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Primiparous women (first pregnancy reaching at least 20 weeks)
- Singleton pregnancy
- Gestational age between 37 weeks 0 days and 41 weeks 6 days
- Admitted to Labor and Delivery Unit in active labor
- Received epidural analgesia for labor pain
- Expected vaginal delivery with no contraindications
- Able to understand and communicate in Arabic or English
- Provided written informed consent
You will not qualify if you...
- Any condition where vaginal birth is not appropriate (e.g., absolute cesarean indication)
- Labor not progressing requiring immediate intervention
- Severe pre-eclampsia or eclampsia
- Active vaginal bleeding of unknown cause
- Major placenta previa or vasa previa
- Suspected or confirmed placental abruption
- Preterm labor with contraindication to mobility
- Ruptured membranes with unstable fetal head (risk of cord prolapse)
- Severe maternal exhaustion needing bed rest
- Maternal hemodynamic instability
- Non-reassuring fetal heart rate requiring continuous monitoring
- Malpresentation needing immediate intervention (e.g., transverse lie)
- Suspected large fetus causing mechanical obstruction
- Multiple gestation with instability or complications
- Conditions preventing safe sitting or balance (e.g., severe joint injuries, arthritis, recent joint surgery, neuromuscular disorders, severe sciatica, poor trunk control)
- High-risk pregnancy conditions including uncontrolled gestational diabetes or hypertension
- Intrauterine growth restriction needing continuous monitoring
- Polyhydramnios or severe oligohydramnios
- Preterm premature rupture of membranes
- History of preterm birth with current instability
- Conditions requiring bed rest or reduced mobility
- Inability to follow instructions or unsteady balance
- No trained staff available for supervision or use of unstable/incorrectly sized birthing ball
AI-Screening
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Trial Site Locations
Total: 1 location
1
Women's Wellness and research center
Doha, Baladiyat ad Dawhah, Qatar, 3050
Actively Recruiting
Research Team
P
Parveen N Nather, Master's in nursing
CONTACT
D
Dr.Ananth Nazarene, PHD in Nursing
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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