NCT03056313

The Proactive Support of Labor Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 347 (actual)
• Sponsor: Norwegian University of Science and Technology · Academic / Other
• Sex: Female
• Age: 18 Years – 45 Years
• Healthy volunteers: Not accepted

Summary

The duration of labor is decisive for maternal and fetal health. Poor progression often results in tired mothers, bad experience, delivery complications and a demand for cesarean section in next pregnancy. Proactive support of labor is a method originally from the Netherlands. The main idea is to define start of active labor earlier than the traditional "3-4 cm opening of the cervix and regular contractions" to be cervix \< 0.5 cm in length, and 1 cm opening and painful contractions. From this point, it is expected to be a progress of 1cm/hour opening of cervix. If not, progress is supported by amniotomy or stimulation of contractions. This method is embraced by several clinics with great enthusiasm. However, there are no randomized controlled trials to prove that this method is better than others.

Conditions

• Obstetric Labor Complications

Interventions

Type	Name	Description
BEHAVIORAL	Proactive support of labor	In case of delayed labor, active labor is defined at an earlier stage; labor support is given with 1 cm opening of the cervix and painful contractions. Labor support interventions are started then.
BEHAVIORAL	support of labor as usual	In case of delayed labor, active labor start is defined as usual at 3-4 cm opening of the cervix and regular contractions. Labor support interventions are started then.

Timeline

• Start date: 2017-02-15
• Primary completion: 2021-05-31
• Completion: 2021-05-31
• First posted: 2017-02-17
• Last updated: 2022-04-07

Locations

1 site across 1 country: Norway