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The Effect of Birth Positions on Labor

RecruitingNAAges 18 Years - 35 YearsFemaleEge University
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In plain words

What the trial is, and whether it could suit you

This study is a randomized controlled trial aimed at evaluating the effects of positions used during labor on pelvic floor muscle strength and the severity and nature of perineal pain in primiparous pregnant women. The World Health Organization (WHO) recommends supporting women's freedom of movement during the second stage of labor and encouraging upright birthing positions. However, in many countries, births are still performed in supine or lithotomy positions, and knowledge and practice regarding upright positions persist. This situation points to a significant knowledge and practice gap for both birthing women and healthcare professionals. The study will be conducted at the Birth Unit of Bakırçay University Çiğli Training and Research Hospital, Izmir. Following ethics committee approval, the study will be conducted within one year. The sample will consist of 70 primiparous pregnant w

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📋 Eligibility rules (as published)
Inclusion Criteria: * Being between 18 and 35 years of age * Being primiparous * Being at term (37-42 weeks) * Being in the latent phase of the first stage of labor * Being in the vertex position, having a single, live fetus * Having an estimated fetal weight between 2500 and 4000 grams * Having a maternal Body Mass Index \<30 * Pregnant women who are expected to give birth vaginally * Ability to understand and speak Turkish * Volunteer to participate in the study Exclusion Criteria: * Non-cephalic presentation * Chronic diseases (heart disease, epilepsy, hypertension, hypothyroidism, diabetes, and kidney disease, etc.) * Risk of obstetric complications (gestational hypertension, cephalopelvic disproportion, antepartum hemorrhage, intrauterine growth restriction, premature rupture of membranes, etc.) * History of pelvic surgery * History of prolapse surgery * History of collagen disorder * Severe anemia * Presence of genital tract infection * Abnormalities of the vulva (presence of vulvar edema, scarring, etc.) * Application of fundal pressure * Interventional delivery (use of forceps/vacuum during the second stage, etc.) * Cesarean section * Fetal (risk/presence of congenital malformations, estimated fetal weight \<2500 g or \>4000 g)
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What it tests

  • Semi-sitting birth position
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Where

1 site
Izmir Bakircay University Cigli Training and Research Hospital
Izmir, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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