[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"cesarean-delivery-affecting-fetus\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:cesarean-delivery-affecting-fetus":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,47],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":34,"whyStopped":4,"lastUpdateSubmitDate":35,"lastUpdatePostDateStruct":36,"startDateStruct":39,"completionDateStruct":41,"leadSponsor":43,"locationsCount":46},"100506995","early-diagnosis-and-intervention-for-fetal-malposition-in-active-labor-and-its-impact-on-mode-of-delivery-100506995",false,"NCT05881629","Early Diagnosis and Intervention for Fetal Malposition in Active Labor and Its Impact on Mode of Delivery","Early Diagnosis and Intervention for Fetal Malposition in Active Labor and Its Impact on Mode of Delivery: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Maternal age \\>18\n* Term gestation (\\>37 weeks)\n* Singleton pregnancy\n* Spontaneous or induced active labor (cervical dilation 6-9cm)\n* Epidural anesthesia\n* Cephalic fetal presentation, OP\u002FOT position diagnosed by bedside ultrasound\n* Continuous external fetal monitoring\n* Ability to consent\n\nExclusion Criteria:\n\n* Multiple gestations\n* Unanesthetized labor\n* Known fetal anomalies\n* Known intrauterine fetal demise\n* Inability to consent",true,"FEMALE","18 Years",{"count":20,"type":21},200,"ESTIMATED","INTERVENTIONAL",[24],"NA","The goal of this randomized trial is to test if changing a person's position in labor can increase the chances of delivering their baby vaginally.\n\nSpecifically, it aims to answer the questions:\n\n* In fetuses who are facing upwards (occiput posterior, OP) or sideways (occiput transverse, OT) during labor, does changing the patient's position during active labor to a side-lying posture with a peanut ball increase the chances of them having a successful, spontaneous vaginal delivery?\n* Does changing the patient's position in active labor affect the position of the baby at the time of delivery?\n* Do intentional position changes in labor impact patient-perceived autonomy during their labor and delivery experience?\n\nParticipants will:\n\n* Receive an ultrasound during labor to determine the position of their baby\n* Be asked to adopt a specific position in labor (side-lying with peanut ball) if they are randomized to the study group\n* Receive additional ultrasounds during labor to assess their baby's position\n* Fill out a questionnaire about their labor experience following the delivery of their baby",[27,28,29],"Cesarean Delivery Affecting Fetus","Labor Dystocia","Labor Complication",[31,32,33],"fetal malposition","occiput posterior","occiput transverse","RECRUITING","2025-09-03",{"date":37,"type":38},"2025-09-11","ACTUAL",{"date":40,"type":38},"2024-05-01",{"date":42,"type":21},"2026-09-01",{"name":44,"class":45},"Women and Infants Hospital of Rhode Island","OTHER",1,{"id":48,"slug":49,"hasResults":11,"nctId":50,"briefTitle":51,"officialTitle":52,"acronym":4,"eligibilityCriteria":53,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":54,"targetDuration":4,"studyType":22,"phases":56,"briefSummary":57,"conditions":58,"keywords":4,"overallStatus":34,"whyStopped":4,"lastUpdateSubmitDate":60,"lastUpdatePostDateStruct":61,"startDateStruct":63,"completionDateStruct":65,"leadSponsor":67,"locationsCount":46},"100530024","time-of-oxytocin-initiation-at-2nd-stage-of-labor-and-adverse-outcomes-100530024","NCT06181396","Time of Oxytocin Initiation at 2nd Stage of Labor and Adverse Outcomes","Association Between Time of Oxytocin Initiation at 2nd Stage of Labor and Adverse Outcomes","Inclusion Criteria:\n\n1. Singleton pregnancy\n2. Maternal age ≥ 18 years' old\n3. Oxytocin administration initiated or renewed during second stage of labor\n\nExclusion Criteria:\n\n1. Maternal age \\\u003C 18 years' old\n2. Multiple gestation pregnancy\n3. Known fetal malformations\n4. Uterine scar",{"count":55,"type":21},120,[24],"Early oxytocin administration at the 2nd stage of labor is associated with a higher rate of vaginal delivery, shorter second stage duration, and fewer adverse maternal and neonatal outcomes.",[59,27],"Delivery Complication","2023-12-22",{"date":62,"type":38},"2023-12-26",{"date":64,"type":38},"2023-10-01",{"date":66,"type":21},"2026-10",{"name":68,"class":45},"Rambam Health Care Campus"]