[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"labor-obstetric\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:labor-obstetric":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,5,0,[8,49,74,98,129],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":29,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"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":19,"type":20},159,"ESTIMATED","INTERVENTIONAL",[23],"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.",[26,27,28],"Labor, Obstetric","Epidural Analgesia, Obstetric","Labor Duration",[30,31,32,33,34,35],"Integrated intrapartum supportive care","Spontaneous pushing","Immediate pushing","Low-dose epidural analgesia","Maternal mobility","Labor progression","RECRUITING","2026-06-17",{"date":39,"type":40},"2026-06-23","ACTUAL",{"date":42,"type":40},"2025-06-10",{"date":44,"type":20},"2026-07-31",{"name":46,"class":47},"National Taipei University of Nursing and Health Sciences","OTHER",1,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":55,"eligibilityCriteria":56,"healthyVolunteers":57,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":58,"targetDuration":4,"studyType":21,"phases":60,"briefSummary":61,"conditions":62,"keywords":4,"overallStatus":63,"whyStopped":4,"lastUpdateSubmitDate":64,"lastUpdatePostDateStruct":65,"startDateStruct":67,"completionDateStruct":69,"leadSponsor":71,"locationsCount":73},"100494438","intrapartum-ultrasound-for-assessment-of-fetal-progression-100494438","NCT05718180","Intrapartum Ultrasound for Assessment of Fetal Progression","Intrapartum Ultrasound for Assessment of Fetal Progression: a Multicentre Randomized Within-Subject Trial Evaluating Variation in AoP and HPD According to Maternal Position and Pelvic Mobility (MaPP Study)","MaPP","Inclusion Criteria:\n\n* pregnant women with singleton pregnancies\n* at term gestation (37 weeks)\n* fetus in cephalic presentation\n* absence of factors hindering vaginal delivery\n\nExclusion Criteria:\n\n* complicated pregnancies\n* vaginal birth after Cesarean\n* twin pregnancies\n* early pregnancy\n* women condition that exclude vaginal birth",true,{"count":59,"type":20},105,[23],"The use of ultrasound has been suggested to support the management of labour. According to several studies, ultrasound examination is more accurate and reproducible than clinical examination in diagnosing fetal head position, fetal station, and the prediction of labour arrest. Furthermore, there is growing evidence that ultrasound in labour may predict the outcome of instrumental vaginal delivery: a support to assess when an operative delivery is necessary. Ultrasound in labour can be performed using a transabdominal approach, mainly to determine head and spine position, or a transperineal approach, to assess head station and the situation at low stations. Several sonographic parameters have been proposed to evaluate the head station.\n\nFurthermore, all ultrasound parameters studied so far, have always been measured with the woman in a supine position. While the biomechanics of childbirth with its mechanisms (known as nutation, counter-nutation of the pelvis, and the coccyx retropulsion) together with maternal movement, promote fetal rotation and the adaptation of its diameters with those of the maternal pelvis, allowing to gain more room for the fetal descent. Moreover, in most of the studies on intrapartum ultrasound, the mobility of the pelvis has not been mentioned. The contracted pelvis is the absence of mobility that leads to fetal-pelvic disproportion, arrest of labour, and operative delivery. Maternal pelvis biomechanics studies by high technological techniques have shown that maternal shifting positions during pregnancy and childbirth can create more room in the pelvis for safe delivery. The external and internal pelvic diameters are closely related.\n\nFor this reason, the evaluation of the mobility of the pelvis appears to be a necessary element to understand the ability of that pelvis to widen its diameters for fetal descent.\n\nThe aim of the study is to measure the variation of AoP, HPD in the supine position and in kneeling-squat position in the same woman and the cut-offs of the new ultrasound parameters and predictive capacity for vaginal birth.",[26],"NOT_YET_RECRUITING","2026-06-16",{"date":66,"type":40},"2026-06-18",{"date":68,"type":20},"2026-07-01",{"date":70,"type":20},"2029-07-31",{"name":72,"class":47},"University of Padova",3,{"id":75,"slug":76,"hasResults":11,"nctId":77,"briefTitle":78,"officialTitle":79,"acronym":80,"eligibilityCriteria":81,"healthyVolunteers":57,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":82,"targetDuration":4,"studyType":21,"phases":84,"briefSummary":85,"conditions":86,"keywords":4,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":89,"lastUpdatePostDateStruct":90,"startDateStruct":92,"completionDateStruct":94,"leadSponsor":96,"locationsCount":48},"100626032","obstetric-risk-assessment--cesarean-delivery-in-labor-estimation-using-artificial-intelligence-100626032","NCT07430358","Obstetric Risk Assessment & Cesarean-delivery in Labor Estimation Using Artificial Intelligence","Obstetric Risk Assessment & Cesarean-delivery in Labor Estimation Using Artificial Intelligence Trial (ORACLE-AI)","ORACLE-AI","Inclusion Criteria:\n\n* Age ≥ 18 years at the time of consent\n* Able and willing to provide written informed consent\n* Nulliparous (no prior birth ≥ 24 weeks' gestation)\n* Singleton live pregnancy\n* Cephalic (vertex) fetal presentation\n* Gestational age ≥ 37+0 weeks\n* Admitted to the labor ward in labor (cervical dilation ≥ 3 cm with regular contractions) or undergoing induction or augmentation of labor with intent to proceed to vaginal delivery\n* Planned trial of labor (no scheduled or elective cesarean delivery)\n* Receiving intrapartum care at Hadassah-Hebrew University Medical Center, Mount Scopus campus\n\nExclusion Criteria:\n\n* Planned or elective cesarean delivery prior to labor admission\n* Multifetal gestation\n* Non-cephalic fetal presentation\n* Gestational age \\\u003C 37+0 weeks\n* Major fetal anomaly expected to affect labor or neonatal management\n* Contraindication to vaginal delivery (e.g., placenta previa, invasive placentation, prior uterine surgery precluding labor)\n* Category III fetal heart rate tracing on admission requiring immediate delivery\n* Maternal hemodynamic instability or other life-threatening condition necessitating urgent surgical or critical-care intervention\n* Inability to provide informed consent due to cognitive impairment, intoxication, or other incapacity\n* Concurrent participation in another interventional obstetric study that could confound outcomes or increase risk",{"count":83,"type":20},400,[23],"ORACLE-AI is a single-center, open-label, randomized clinical trial comparing primiparous women managed with a real-time machine-learning dashboard against a concurrent control group receiving standard intrapartum care. Participants are randomized 1:1 at the onset of labor. The intervention group has the AI dashboard visible in their electronic health record, while the control group does not. The primary hypothesis is that the use of continuous AI-based risk estimates will be non-inferior to standard care in terms of unplanned cesarean\\–delivery rates (uCD), with potential secondary benefits in maternal and neonatal outcomes.",[26,87,88],"Pregnancy","Cesarean Section Rate","2026-05-20",{"date":91,"type":40},"2026-05-22",{"date":93,"type":20},"2026-05-19",{"date":95,"type":20},"2027-04-30",{"name":97,"class":47},"Hadassah Medical Organization",{"id":99,"slug":100,"hasResults":11,"nctId":101,"briefTitle":102,"officialTitle":103,"acronym":104,"eligibilityCriteria":105,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":106,"enrollmentInfo":107,"targetDuration":4,"studyType":21,"phases":109,"briefSummary":110,"conditions":111,"keywords":115,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":120,"lastUpdatePostDateStruct":121,"startDateStruct":123,"completionDateStruct":125,"leadSponsor":127,"locationsCount":48},"100623384","comparing-pieb-and-cei-for-labor-pain-relief-100623384","NCT07395934","Comparing PIEB and CEI for Labor Pain Relief","Comparison of Continuous Epidural Infusion vs. Programmed Intermittent Epidural Bolus Combined With Patient-Controlled Epidural Analgesia for Labor Pain Relief: A Randomized Controlled Trial","COPILOT","Inclusion Criteria:\n\n* Parturients indicated for labor analgesia for vaginal delivery via epidural anesthesia.\n* Age from 18 to 40 years.\n* Physical status: ASA II.\n* Singleton pregnancy, full-term, vertex presentation in labor.\n* Indication for vaginal delivery.\n* No contraindications to epidural anesthesia.\n* Agreement to participate in the research and signed written informed consent.\n\nExclusion Criteria:\n\n* Contraindications to epidural analgesia.\n* History of allergy to local anesthetics (Ropivacaine) or opioids (Fentanyl).\n* High-risk pregnancies: Preeclampsia, placenta previa, placental abruption.\n* Fetal distress or fetal abnormalities.\n* Chronic use of analgesic drugs or neurological\u002Fpsychiatric disorders.\n* Parturients who refuse to participate or request to withdraw from the research.","40 Years",{"count":108,"type":20},60,[23],"The purpose of this randomized controlled trial is to compare the efficacy and safety of two epidural analgesia maintenance methods for labor pain relief: Programmed Intermittent Epidural Bolus (PIEB) and Continuous Epidural Infusion (CEI), both combined with Patient-Controlled Epidural Analgesia (PCEA). The study aims to evaluate which technique provides superior analgesia while minimizing anesthetic consumption and preserving maternal motor function. A total of 60 parturients at Family Hospital, Da Nang, will be randomly assigned to either the PIEB or CEI group. Outcomes including pain intensity (VAS scores), total drug consumption, maternal satisfaction, and neonatal Apgar scores will be assessed.",[112,113,114,26],"Labor Pain","Analgesia, Epidural","Analgesia, Obstetrical",[116,117,118,119],"Programmed Intermittent Epidural Bolus (PIEB)","Continuous Epidural Infusion (CEI)","Patient-Controlled Epidural Analgesia (PCEA)","Visual Analog Scale (VAS)","2026-01-31",{"date":122,"type":40},"2026-02-09",{"date":124,"type":40},"2025-07-30",{"date":126,"type":20},"2026-08-30",{"name":128,"class":47},"Da Nang Family General Hospital",{"id":130,"slug":131,"hasResults":11,"nctId":132,"briefTitle":133,"officialTitle":133,"acronym":4,"eligibilityCriteria":134,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":135,"targetDuration":4,"studyType":137,"phases":4,"briefSummary":138,"conditions":139,"keywords":145,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":150,"lastUpdatePostDateStruct":151,"startDateStruct":153,"completionDateStruct":155,"leadSponsor":157,"locationsCount":48},"100613914","maternal-informing-on-labor-induction-impact-on-childbirth-experience-100613914","NCT07272785","Maternal Informing on Labor Induction: Impact on Childbirth Experience","Inclusion Criteria:\n\n* Planned induction of labor at the antenatal ward or at the outpatient clinic\n* Adequate language skills (Finnish, Swedish, English)\n\nExclusion Criteria:\n\n* Induction at the delivery ward or at the obstetric emergency care clinic\n* Spontaneous onset of labor or a planned cesarean delivery\n* Age below 18 years at the time of recruitment",{"count":136,"type":20},50,"OBSERVATIONAL","The aim of this study is to explore the information provided to mothers about labor induction and its connection to their childbirth experience. In addition, the study examines how the use of social media may influence the birth experience among patients undergoing labor induction.",[140,26,87,141,142,143,144],"Labor, Induced","Humans","Prospective Study","Prospective Study , Questionaires","Childbirth Experience",[146,147,87,148,149],"Childbirth experience","Induction of labor","Childbirth","Obstetrics","2025-12-16",{"date":152,"type":40},"2025-12-23",{"date":154,"type":40},"2025-12-08",{"date":156,"type":20},"2026-06",{"name":158,"class":159},"Turku University Hospital","OTHER_GOV"]