Ultrasound-guided pelvic floor training to help birth in first-time pregnant women

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 single-center, randomized controlled trial compares ultrasound-based visual feedback training of the pelvic floor to standard care in nulliparous women at term who show levator ani muscle co-activation. Participants receive a transperineal ultrasound session with real-time visualization and coaching on pushing technique. The primary goal is to see whether this approach can reduce the duration of the second stage of labor. The study is interventional and non-profit, enrolling during routine antenatal visits at term. Outcomes include labor timing and safety in the context of vaginal delivery.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Nulliparous (first pregnancy)
* Adults (≥18 years old)
* Singleton pregnancy
* Presence of levator ani muscle co-activation at term pregnancy (37 weeks)
* Candidates for vaginal delivery
* Written informed consent signed for study participation

Exclusion Criteria:

* Presence of uterine malformations
* Presence of fetal malformations
* Presence of vaginal bleeding at the time of enrollment
* Regular uterine contractions
* Premature rupture of membranes

Where it's running

• IRCCS Azienda Ospedaliero-Universitaria di Bologna
  Bologna, Bologna, Italy Recruiting

Study contacts

• Study coordinator: Elena Brunelli, MD
• Email: elena_brunelli@aosp.bo.it
• Phone: 0512144377

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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.