[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100567595":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":30,"locations":40,"responsibleParty":64,"collaborators":26,"id":67,"slug":68,"hasResults":69,"nctId":70,"briefTitle":71,"officialTitle":72,"acronym":26,"eligibilityCriteria":73,"healthyVolunteers":74,"sex":75,"minAge":76,"maxAge":77,"enrollmentInfo":78,"targetDuration":26,"studyType":81,"phases":82,"briefSummary":84,"conditions":85,"keywords":88,"overallStatus":96,"whyStopped":26,"lastUpdateSubmitDate":97,"lastUpdatePostDateStruct":98,"startDateStruct":101,"completionDateStruct":103,"leadSponsor":105,"locationsCount":106},{"fullName":5,"class":6},"Hawler Medical University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Upright Birthing Position Group","EXPERIMENTAL","Participants assigned to the Upright Birthing Position Arm will be encouraged to maintain an upright position during labor and delivery. The upright position includes a squatting. This arm aims to assess the potential benefits of the upright position, such as improved maternal outcomes (e.g., shorter labor duration, reduced need for interventions) and favorable newborn outcomes (e.g., higher Apgar scores, better oxygenation).\n\nTo evaluate the effects of upright positioning on both maternal and newborn outcomes compared to the traditional lithotomy position.",[13],"Behavioral: Upright Birthing Position",{"label":15,"type":16,"description":17,"interventionNames":18},"Lithotomy Birthing Position","ACTIVE_COMPARATOR","Participants in the Lithotomy Position Arm will follow the standard hospital practice of delivering in the lithotomy position, where the mother is lying on her back with legs supported in stirrups. This position is widely used in clinical settings and serves as the control arm to compare with the outcomes from the upright birthing position.\n\nTo serve as a control group to provide a comparative measure of maternal and newborn outcomes against the upright birthing position. Outcomes will include maternal comfort, labor duration, intervention requirements, and newborn health indicators.",[19],"Behavioral: Lithotomy Birthing Position",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Upright Birthing Position","This intervention involves encouraging participants to use an upright position during labor and delivery, which may include : squatting, based on their preference and comfort level. Healthcare staff will support the participants in maintaining an upright position throughout labor as much as possible to evaluate its effects on maternal and newborn outcomes.",[9],null,{"type":22,"name":15,"description":28,"armGroupLabels":29,"otherNames":26},"Participants in this arm will be positioned in the lithotomy position during labor and delivery, which is a common practice in clinical settings. In this position, the mother lies on her back with her legs supported in stirrups. This intervention serves as the control condition to provide a baseline comparison for evaluating outcomes against the upright birthing position.",[15],[31,36],{"name":32,"role":33,"phone":34,"phoneExt":26,"email":35},"Wahida Ibrahim, Master","CONTACT","009647509663311","Wahida.ibraheem@hmu.edu.krd",{"name":37,"role":33,"phone":38,"phoneExt":26,"email":39},"Dr. Kazhan Mahmood, PhD","009647504491331","kazhan.mahmood@hmu.edu.krd",[41],{"facility":42,"status":26,"city":43,"state":26,"zip":44,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":53},"Hawler Medical University, Erbil, Kurdistan region 44001","Erbil","44001","Iraq","IQ",{"type":48,"coordinates":49},"Point",[50,51],44.00943,36.19117,{"lat":51,"lon":50},[54,58,61],{"name":55,"role":33,"phone":56,"phoneExt":26,"email":57},"Zhian Mahmoud Dezayee, professor","0662273383","zhian.dezayee@hmu.edu.krd",{"name":59,"role":60,"phone":26,"phoneExt":26,"email":26},"Wahida Abdullah Ibrahim, Master","PRINCIPAL_INVESTIGATOR",{"name":62,"role":63,"phone":26,"phoneExt":26,"email":26},"Kazhan Ibrahim Mahmood, Doctoral","SUB_INVESTIGATOR",{"type":60,"investigatorFullName":65,"investigatorTitle":66,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"WAHIDA ABDULLAH IBRAHIM","Lecturer","100567595","effectiveness-of-upright-vs-lithotomy-birthing-position-on-maternal-and-newborn-outcomes-100567595",false,"NCT06670235","Effectiveness of Upright vs. Lithotomy Birthing Position on Maternal and Newborn Outcomes","Effectiveness of Using Upright Versus Lithotomy Birthing Position on Maternal and Newborn Outcomes: A Quasi Experimental Study","Inclusion Criteria:\n\n* Pregnant women with singleton pregnancies;\n* Gestational age ranges from (≥37 to 41+6 weeks);\n* Spontaneous labor with no contraindications to upright positions;\n* Active phase of first stage labor;\n* Age 18-35 years old;\n* Normal size fetus with occipito-anterior position;\n* Communicate normally and participate voluntary.\n\nExclusion Criteria:\n\n* Abnormal fetal position (malpresentation) (e,g., persistent occipital-transverse and occipital-posterior position, etc.);\n* Risky pregnancy or childbirth complications, such as (preeclampsia, eclampsia, heart disease, cephalic presentation dystocia, antepartum hemorrhage, fetal distress, intra-uterine growth restriction, intra-amniotic infection); and free from any chronic diseases (heart disease, epilepsy, hypertension, diabetes mellitus and renal disease)\n* Multiple gestation;\n* Cephalopelvic disproportion (CPD);\n* Precipitate labor;\n* Antenatally diagnosed fetal anomalies;\n* Current history of a leg injury, fracture, and deep vein thrombosis.",true,"FEMALE","18 Years","35 Years",{"count":79,"type":80},124,"ESTIMATED","INTERVENTIONAL",[83],"NA","This study investigates the effectiveness of upright versus lithotomy birthing positions on maternal and newborn outcomes. Conducted at the Maternity Teaching Hospital in Erbil City, it employs a quasi-experimental design with 62 women in each group (Intervention and control), comparing outcomes for those encouraged to use upright positions with those in standard lithotomy. Maternal and newborn outcomes will be assessed to provide evidence on how birthing positions impact labor progression, comfort, and delivery results. The findings aim to inform clinical practice and policy, enhancing midwifery care and supporting patient-centered approaches to childbirth. Does the upright birthing position effect on maternal and newborn outcomes? Does the lithotomy birthing position effect on maternal and newborn outcomes? The expected outcomes will decrease the rate of perineal tear , episiotomy , post partum hemorrhage and decreasing the rate of admission to Neonatal Intensive Care Unit (NICU) in newborn.",[86,87],"Maternal Outcomes","Newborn Complication",[89,90,91,92,93,94,95],"Upright birthing position","Lithotomy position","Maternal outcomes in childbirth","Newborn outcomes in labor","Birth position comparison","Labor positions and delivery","Effectiveness of birth positions","NOT_YET_RECRUITING","2024-10-30",{"date":99,"type":100},"2024-11-01","ACTUAL",{"date":102,"type":80},"2024-11-10",{"date":104,"type":80},"2026-09-01",{"name":5,"class":6},1]