Status:
UNKNOWN
McRoberts Manoeuvre Or Pushing Study (McMOPS)
Lead Sponsor:
University of Melbourne
Conditions:
Childbirth
Eligibility:
FEMALE
18-45 years
Phase:
PHASE1
Brief Summary
We propose to conduct a randomised-controlled study to investigate whether adopting McRoberts' position, after 45 minutes of active pushing with no signs of progress, can increase the probability of v...
Detailed Description
When women are in labour, they firstly undergo the first stage of labour where the cervix (neck of the womb) progresses to full dilatation. Once this occurs, they have reached the second stage, where ...
Eligibility Criteria
Inclusion
- Nulliparous women in labour after 37 completed weeks gestation who have been pushing for 45 minutes in the second stage of labour with no progress (defined as no presenting part visible on pushing, without parting the labia)
- Singleton pregnancy
- Cephalic presentation
- Clinical scenarios in which we propose to still include in the study: \*Spontaneous or induced labour; \*Regional anaesthesia; \*Clinical suspicion of large baby, but was considered suitable for trial of labour
Exclusion
- Maternal weight \>100kgs
- Non-reassuring fetal condition
- Patient being unable to tolerate McRobert's position
- Non-English speaking woman
- Woman unable to give adequate consent, or suspicion that the antenatal information sheet has not been fully understood
- Multiparous women
- Complicated obstetric co-morbidities, including: \*Preterm labour (less than 37 completed weeks gestation); \*Multiple pregnancy; \*Abnormal presentation; \*Placenta praevia or abruption; \*Non-reassuring fetal status Maternal pathology restricting maternal adoption of McRoberts' position (e.g. back problems)
Key Trial Info
Start Date :
August 1 2005
Trial Type :
INTERVENTIONAL
End Date :
December 1 2006
Estimated Enrollment :
222 Patients enrolled
Trial Details
Trial ID
NCT00116246
Start Date
August 1 2005
End Date
December 1 2006
Last Update
September 8 2006
Active Locations (1)
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1
Mercy Hospital for Women
Melbourne, Victoria, Australia, 3084