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Maternal Maneuvers During Prolonged Labor
CIRCUIT: Maternal Maneuvers During Prolonged Labor, A Pilot Randomized Control Trial
Who can join
Ages 12 and older · Women
Full eligibility criteria
Inclusion Criteria: * English-speaking patients * Singleton, vertex pregnancies * 34 weeks' gestation or later * Admitted to Labor and Delivery in spontaneous labor or for an induction of labor * Prolonged labor course as defined by: cervical dilation less than 6 cm after 8 hours or more of ruptured membranes (spontaneous or artificial) and oxytocin infusion, or cervical dilation 6 cm or more and less than 1-cm cervical dilation change over 2 hours or more with ruptured membranes and oxytocin infusion Exclusion Criteria: * Intraamniotic infection prior to randomization * Magnesium sulfate treatment * Major fetal anomalies * BMI ≥50 * Non-reassuring fetal status prior to randomization * Any maternal diagnosis that precludes safety or feasibility of intrapartum circuit of maternal position changes
About the study
This pilot, randomized control trial will test whether or not a specific circuit of position changes improves maternal outcomes in cases of prolonged labor.
Patient who have prolonged labor will be approached for consent and randomization to one of two study groups: circuit intervention against routine standard of care position changes. 82 patients will be enrolled in the study. Exclusion criteria will include: any uterine infection prior to randomization, magnesium sulfate treatment, major fetal anomalies, BMI ≥50, non-reassuring fetal status prior to randomization, or any maternal diagnosis that precludes safety or feasibility of the circuit of maternal position changes.
The 3 aims of the study will include: the outcome that the circuit of position changes has on the duration of the first stage of labor, maternal and neonatal morbidity, and maternal satisfaction.
What is being tested
- Circuit of maternal position changes during labor (other)
Sponsor: Washington University School of Medicine · Participants: 82 · Started: Dec 10, 2024
Contact the study team
- Drew Hensel Maternal Fetal Medicine Fellow, MD · Phone: 314-718-0839
Official record on ClinicalTrials.gov — NCT06636149
Locations in the U.S.
| Missouri | Washington University Medicine, Saint Loius |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.