Maternal Maneuvers During Prolonged Labor

Description

This pilot, randomized control trial will test whether or not a specific circuit of position changes improves maternal outcomes in cases of prolonged labor. Patient who have prolonged labor will be approached for consent and randomization to one of two study groups: circuit intervention against routine standard of care position changes. 82 patients will be enrolled in the study. Exclusion criteria will include: any uterine infection prior to randomization, magnesium sulfate treatment, major fetal anomalies, BMI ≥50, non-reassuring fetal status prior to randomization, or any maternal diagnosis that precludes safety or feasibility of the circuit of maternal position changes. The 3 aims of the study will include: the outcome that the circuit of position changes has on the duration of the first stage of labor, maternal and neonatal morbidity, and maternal satisfaction.

Conditions

Labor Stage, First, Prolonged Labor

Study Overview

Study Details

Study overview

This pilot, randomized control trial will test whether or not a specific circuit of position changes improves maternal outcomes in cases of prolonged labor. Patient who have prolonged labor will be approached for consent and randomization to one of two study groups: circuit intervention against routine standard of care position changes. 82 patients will be enrolled in the study. Exclusion criteria will include: any uterine infection prior to randomization, magnesium sulfate treatment, major fetal anomalies, BMI ≥50, non-reassuring fetal status prior to randomization, or any maternal diagnosis that precludes safety or feasibility of the circuit of maternal position changes. The 3 aims of the study will include: the outcome that the circuit of position changes has on the duration of the first stage of labor, maternal and neonatal morbidity, and maternal satisfaction.

CIRCUIT: Maternal Maneuvers During Prolonged Labor, A Pilot Randomized Control Trial

Maternal Maneuvers During Prolonged Labor

Condition
Labor Stage, First
Intervention / Treatment

-

Contacts and Locations

Saint Louis

Washington University Medicine, Saint Louis, Missouri, United States, 63110

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * English-speaking patients
  • * Singleton, vertex pregnancies
  • * 34 weeks' gestation or later
  • * Admitted to Labor and Delivery in spontaneous labor or for an induction of labor
  • * Prolonged labor course as defined by: cervical dilation less than 6 cm after 8 hours or more of ruptured membranes (spontaneous or artificial) and oxytocin infusion, or cervical dilation 6 cm or more and less than 1-cm cervical dilation change over 2 hours or more with ruptured membranes and oxytocin infusion
  • * Intraamniotic infection prior to randomization
  • * Magnesium sulfate treatment
  • * Major fetal anomalies
  • * BMI ≥50
  • * Non-reassuring fetal status prior to randomization
  • * Any maternal diagnosis that precludes safety or feasibility of intrapartum circuit of maternal position changes

Ages Eligible for Study

12 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Washington University School of Medicine,

Study Record Dates

2026-05-31