Improving maternal outcomes during prolonged labor with position changes
CIRCUIT: Maternal Maneuvers During Prolonged Labor, A Pilot Randomized Control Trial
NA · Washington University School of Medicine · NCT06636149
This study is testing if changing positions during prolonged labor can help women have better outcomes and feel more satisfied compared to standard care.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 82 (estimated) |
| Ages | 12 Years and up |
| Sex | Female |
| Sponsor | Washington University School of Medicine (other) |
| Locations | 1 site (Saint Loius, Missouri) |
| Trial ID | NCT06636149 on ClinicalTrials.gov |
What this trial studies
This pilot randomized control trial aims to evaluate the effectiveness of a specific circuit of maternal position changes in improving outcomes for women experiencing prolonged labor. Participants will be randomly assigned to either the intervention group, which will follow a nurse-led circuit of position changes, or the control group, which will receive routine standard care. The study will enroll 82 patients and assess the impact of these maneuvers on the duration of the first stage of labor, maternal and neonatal morbidity, and maternal satisfaction. The trial seeks to address the lack of data on the efficacy of intrapartum position changes and their potential to reduce cesarean delivery rates.
Who should consider this trial
Good fit: Ideal candidates are English-speaking women with singleton, vertex pregnancies who are experiencing prolonged labor.
Not a fit: Patients with intraamniotic infections, major fetal anomalies, or other conditions that compromise safety or feasibility will not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to shorter labor durations and improved maternal and neonatal outcomes.
How similar studies have performed: While there is limited data on this specific approach, the emphasis on maternal position changes during labor has shown promise in reducing cesarean delivery rates in other studies.
Eligibility criteria
Show full inclusion / exclusion 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
Where this trial is running
Saint Loius, Missouri
- Washington University Medicine — Saint Loius, Missouri, United States (RECRUITING)
Study contacts
- Study coordinator: Drew Hensel Maternal Fetal Medicine Fellow, MD
- Email: dhensel@wustl.edu
- Phone: 314-718-0839
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Labor Stage, First, Prolonged Labor, Circuit, Position changes, Labor, Prolonged labor, Labor dystocia