Intrapartum Support and Pushing Strategies for Women with Low-Dose Epidural Analgesia
Official title: Integrated Intrapartum Supportive Care Combined With Different Pushing Strategies Among Women Receiving Low-Dose Epidural Analgesia: A Three-Arm Non-Randomized Quasi-Experimental Study
Run by National Taipei University of Nursing and Health Sciences · NCT07663500 · Data updated 2026-11-12
This study tests three labor care approaches for women with low-dose epidurals to see which helps labor progress best and safest.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 159 (estimated) |
| Sponsor | National Taipei University of Nursing and Health Sciences Academic / other |
| Locations | 1 site (Taipei) |
| Status | Recruiting |
| Started | June 10, 2025 |
| Main results expected | July 31, 2026 |
| Study ends | July 31, 2026 |
| Registry record updated | June 23, 2026 |
| Trial ID | NCT07663500 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are low-risk, term pregnancies (37–42 weeks) with singleton fetuses planning vaginal birth and opting for low-dose epidural analgesia.
✕Probably not a fit
Patients with non-cephalic presentation, multiple gestations, planned cesarean birth, or other contraindications to vaginal birth may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective, three-arm quasi-experimental study compares integrated intrapartum supportive care with different pushing strategies in women 37–42 weeks gestation using low-dose epidural analgesia. Participants are assigned to one of three predefined care groups: integrated care with spontaneous pushing, integrated care with immediate pushing, or standard care with immediate pushing. The trial measures the durations of the first and second stages of labor as primary outcomes, along with secondary outcomes such as mode of birth, obstetric interventions, maternal outcomes, and neonatal outcomes. Allocation is determined by the attending clinician’s usual practice before the intervention, and not by labor outcomes. The study is conducted at Taiwan Adventist Hospital in Taipei, led by the National Taipei University of Nursing and Health Sciences.
Why it matters
Potential benefit: If successful, the care strategies could shorten labor durations and improve maternal and neonatal outcomes for women using low-dose epidural analgesia.
How similar studies have gone: Previous research in intrapartum care and pushing strategies has shown variable results; this study explores a structured, integrated approach with predefined care pathways to add clarity.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:low-risk pregnant women aged 18 years or older with a singleton, term pregnancy (37-42 weeks), spontaneous labor onset, and planning to receive low-dose epidural analgesia. Exclusion Criteria: Exclusion Criteria: multiple gestation, non-cephalic presentation, known major fetal anomalies, planned cesarean birth, contraindications to vaginal birth, contraindications to maternal mobility or epidural analgesia, or inability to provide informed consent.
Where it's running
-
Taiwan Adventist Hospital
Taipei, Taiwan Recruiting
Study contacts
- Principal investigator: Wan-Lin Pan, PhD — National Taipei University of Nursing and Health Sciences
- Study coordinator: Wan-Lin Pan, PhD
- Email: wanlimp@gmail.com
- Phone: +886-2-2822-7101 ext. 7101
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.