Childbirth is generally regarded as a positive life-changing experience. Up to 44% of women may however experience this as a traumatic event, with 3% suffering from post-traumatic stress disorder after childbirth. The aetiology of a traumatic childbirth experience is a complex interplay between pre-birth, intra-partum and postnatal factors. Feelings of loss of control, lack of interaction with the obstetric caregiver and lack of emotional or practical support during labour are important contributing factors. This trial aims to investigate the effect of providing Visual Biofeedback (VB) through Trans-Perineal Ultrasound (TPU) during the active 2nd stage of labour on maternal childbirth satisfaction. The hypothesis is that the intervention will improve patient-caregiver communication and enhance parturient women's sense of control and empowerment, ultimately improving the birth experience.
Voluntary written informed consent of the participant.
Term (37-42w) singleton gestations.
Vaginally nulliparous (no previous vaginal birth > 20 weeks of gestation).
Fetus in cephalic presentation, without any major congenital or chromosomal anomalies.
Significant psychiatric comorbidity (psychiatric follow-up during pregnancy, or active (psycho-pharmacological) treatment).
History of severe PFDs/surgery (or any other condition affecting pelvic floor function/anatomy, besides pregnancy and delivery).
Significant neurological disease e.g., spinal injury, multiple sclerosis, diabetic neuropathy, etc.
Significant connective tissue disorders (e.g., Ehlers-Danlos syndrome).