[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100644420":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":36,"centralContacts":40,"locations":45,"responsibleParty":63,"collaborators":29,"id":65,"slug":66,"hasResults":67,"nctId":68,"briefTitle":69,"officialTitle":70,"acronym":29,"eligibilityCriteria":71,"healthyVolunteers":67,"sex":72,"minAge":73,"maxAge":29,"enrollmentInfo":74,"targetDuration":29,"studyType":77,"phases":78,"briefSummary":80,"conditions":81,"keywords":85,"overallStatus":48,"whyStopped":29,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":96,"completionDateStruct":98,"leadSponsor":100,"locationsCount":101},{"fullName":5,"class":6},"National Taipei University of Nursing and Health Sciences","OTHER",[8,14,19],{"label":9,"type":10,"description":11,"interventionNames":12},"Integrated Care with Spontaneous Pushing","EXPERIMENTAL","Integrated Care with Spontaneous Pushing Group",[13],"Behavioral: Integrated Care with Spontaneous Pushing Group",{"label":15,"type":10,"description":16,"interventionNames":17},"Integrated Care with Immediate Pushing","Integrated Care with Immediate Pushing Group",[18],"Behavioral: Integrated Care with Immediate Pushing",{"label":20,"type":21,"description":20,"interventionNames":22},"Standard Routine Care","ACTIVE_COMPARATOR",[23],"Behavioral: Standard Routine Care",[25,30,33],{"type":26,"name":15,"description":27,"armGroupLabels":28,"otherNames":29},"BEHAVIORAL","Integrated Care with Immediate Pushing Group: Participants receive an integrated intrapartum care package that includes continuous labor support and active birth positioning. Once full cervical dilation is achieved, participants are instructed to begin pushing immediately, regardless of the presence or absence of an urge to push. This directive approach to second-stage labor is guided by midwives or obstetric staff.",[15],null,{"type":26,"name":11,"description":31,"armGroupLabels":32,"otherNames":29},"Participants receive the integrated intrapartum supportive care program during the first stage of labor. During the second stage, participants are encouraged to begin pushing in response to their spontaneous urge to push rather than routinely initiating pushing immediately after full cervical dilation. The pushing strategy is implemented by the attending clinical care team according to the predefined group protocol.",[9],{"type":26,"name":20,"description":34,"armGroupLabels":35,"otherNames":29},"Participants receive routine intrapartum care according to institutional clinical practice. Supportive measures and position changes may be provided according to maternal needs and clinical judgment, but participants do not receive the structured multicomponent integrated intrapartum supportive care program. During the second stage of labor, pushing begins after full cervical dilation according to the attending clinical team's immediate pushing practice.",[20],[37],{"name":38,"affiliation":5,"role":39},"Wan-Lin Pan, PhD","PRINCIPAL_INVESTIGATOR",[41],{"name":38,"role":42,"phone":43,"phoneExt":29,"email":44},"CONTACT","+886-2-2822-7101 ext. 7101","wanlimp@gmail.com",[46],{"facility":47,"status":48,"city":49,"state":29,"zip":50,"country":51,"countryCode":52,"cosmosGeoPoint":53,"geoPoint":58,"contacts":59},"Taiwan Adventist Hospital","RECRUITING","Taipei","10556","Taiwan","TW",{"type":54,"coordinates":55},"Point",[56,57],121.52639,25.05306,{"lat":57,"lon":56},[60],{"name":61,"role":42,"phone":62,"phoneExt":29,"email":44},"Wan-Lin Pan","0933710737",{"type":39,"investigatorFullName":61,"investigatorTitle":64,"investigatorAffiliation":5,"oldNameTitle":29,"oldOrganization":29},"Associate Professor","100644420","integrated-intrapartum-supportive-care-and-pushing-strategies-in-women-receiving-low-dose-epidural-analgesia-100644420",false,"NCT07663500","Integrated Intrapartum Supportive Care and Pushing Strategies in Women Receiving Low-Dose Epidural Analgesia","Integrated Intrapartum Supportive Care Combined With Different Pushing Strategies Among Women Receiving Low-Dose Epidural Analgesia: A Three-Arm Non-Randomized Quasi-Experimental Study","Inclusion Criteria:low-risk pregnant women aged 18 years or older with a singleton, term pregnancy (37-42 weeks), spontaneous labor onset, and planning to receive low-dose epidural analgesia.\n\nExclusion Criteria: Exclusion Criteria: multiple gestation, non-cephalic presentation, known major fetal anomalies, planned cesarean birth, contraindications to vaginal birth, contraindications to maternal mobility or epidural analgesia, or inability to provide informed consent.","FEMALE","18 Years",{"count":75,"type":76},159,"ESTIMATED","INTERVENTIONAL",[79],"NA","This prospective, three-arm, non-randomized quasi-experimental study aims to evaluate integrated intrapartum supportive care combined with different pushing strategies among women at 37-42 weeks of gestation who receive low-dose epidural analgesia. Participants receive integrated intrapartum supportive care combined with spontaneous pushing, integrated intrapartum supportive care combined with immediate pushing, or routine intrapartum care combined with immediate pushing. The primary outcomes are the durations of the first and second stages of labor. Secondary outcomes include mode of birth, obstetric interventions, maternal outcomes, and neonatal outcomes.",[82,83,84],"Labor, Obstetric","Epidural Analgesia, Obstetric","Labor Duration",[86,87,88,89,90,91],"Integrated intrapartum supportive care","Spontaneous pushing","Immediate pushing","Low-dose epidural analgesia","Maternal mobility","Labor progression","2026-06-17",{"date":94,"type":95},"2026-06-23","ACTUAL",{"date":97,"type":95},"2025-06-10",{"date":99,"type":76},"2026-07-31",{"name":5,"class":6},1]