Squatting vs. lithotomy in the second stage of labor

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study compares squatting to the standard lithotomy position during the second stage of labor in nulliparous women with singleton, vertex fetuses at term. Participants are randomized to either the squatting position or routine care in the hospital setting. Outcomes of interest include maternal and neonatal health measures such as birth progress, delivery method, perineal outcomes, and early neonatal status. The study uses clearly defined upright versus horizontal positioning criteria and follows established obstetric care practices to minimize risks. Eligible women provide informed consent and meet inclusion/exclusion criteria before admission to participating centers in Izmir, Turkey.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Pregnant women who have read, understood, and voluntarily accepted the informed consent form both verbally and in writing,
* Individuals aged 18 years and older,
* Nulliparous pregnant women who will give birth for the first time,
* Gestational age between 37+0 and 41+6 weeks,
* Having a singleton, live fetus in vertex presentation,
* Pregnant women with intact membranes upon hospital admission (no observed amniotic fluid leakage).

Exclusion Criteria:

* Having a diagnosis of high-risk pregnancy either previously or during hospital admission for normal delivery,
* Having a body mass index (BMI) of 30 kg/m² or above,
* Having a fetus with a detected congenital anomaly,
* Having any chronic disease (such as hypertension or diabetes),
* Having a mental or cognitive illness,
* Having any type of disability (such as orthopedic, hearing, visual, or speech impairment),
* Detection of pelvic contraction findings during the vaginal examination upon admission (such as reaching the promontory or palpating the ischial spines during vaginal examination),
* Estimated fetal weight of 4000 grams or above based on ultrasonography measurements,
* Estimated fetal weight of 2500 grams or below based on ultrasonography measurements,
* Term infants diagnosed with intrauterine growth restriction (IUGR)
* Unfollowed pregnancies without routine ultrasonography measurements and screening tests.

Where it's running

• Cigli Training and Research Hospital
  Izmir, İzmir, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: Meryem Ozdemir, PhD Candidate
• Email: meryem.4214@gmail.com
• Phone: +905451787789

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.