[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"labor-obstetrics--complications\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:labor-obstetrics--complications":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,5,0,[8,50,85,114,145],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":23,"conditions":24,"keywords":32,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":49},"100643771","development-of-a-multidimensional-predictive-model-of-dystocic-labor-association-of-physical-condition-and-psychosocial-factors-with-the-birth-process-and-breastfeeding-success-100643771",false,"NCT07635771","Development of a Multidimensional Predictive Model of Dystocic Labor. Association of Physical Condition and Psychosocial Factors With the Birth Process and Breastfeeding Success.","Development of a Multidimensional Predictive Model of Dystocic Labor (MPM-PD): Pilot Study on the Association of Physical Condition and Psychosocial Factors With the Completion of Labor and the Success of Breastfeeding.","MPM-PD","Inclusion Criteria:\n\n* Pregnant women aged 18 years or older\n* Low-to-moderate risk pregnancy\n* Singleton pregnancy\n* Third trimester of pregnancy (\\>28 gestational weeks)\n* Understanding of the official languages\n* Acceptance and signing of the participant information sheet and informed consent form\n* Availability of an electronic device to complete the forms\n\nExclusion Criteria:\n\n* Medical contraindication for light physical activity\n* Severe cardio-respiratory or musculoskeletal pathology\n* Elective cesarean section\n* Severe fetal malformations","FEMALE","18 Years",{"count":20,"type":21},420,"ESTIMATED","OBSERVATIONAL","The goal of this observational study is to learn how a pregnant woman's physical fitness and emotional well-being can help predict the type of birth she will have (such as a natural vaginal birth versus a cesarean section or a birth requiring medical assistance). The study focuses on pregnant women in their third trimester (after 28 weeks of pregnancy).\n\nThe main questions the study aims to answer are:\n\n* Can simple tests of physical strength and questions about emotions (like fear of childbirth) help health professionals predict if a birth might have complications or lack of progress?\n* Do a woman's physical activity and confidence levels during pregnancy affect her ability to successfully breastfeed her baby for up to 6 months?\n\nParticipants will be asked to:\n\n* Perform two simple physical tests during a clinic visit: a hand-grip test (dynamometry test) and a test to see how many times they can stand up from a chair in 30 seconds (Chair Stand Test, CST).\n* Complete surveys about their daily physical activity (PPAQ-S), their feelings and fears regarding childbirth (WDEQ-A), and how confident they feel about handling the final stage of birth and the pushing phase (CBSEI-16).\n* Answer brief follow-up phone calls one month and six months after the birth to talk about how breastfeeding is going.",[25,26,27,28,29,30,31],"Labor and Childbirth","Labor (Obstetrics)--Complications","Hand Strength","Physical Conditioning, Human","Tocophobia","Self Efficacy","Breastfeeding",[33,34,27,35,36,29,30,31],"Labor, Obstetric","Obstetric Labor Complications","Dynamometry","Physical condition","RECRUITING","2026-06-18",{"date":40,"type":41},"2026-06-23","ACTUAL",{"date":43,"type":41},"2026-06-10",{"date":45,"type":21},"2027-12",{"name":47,"class":48},"Institut Investigacio Sanitaria Pere Virgili","OTHER",1,{"id":51,"slug":52,"hasResults":11,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":56,"eligibilityCriteria":57,"healthyVolunteers":11,"sex":17,"minAge":58,"maxAge":59,"enrollmentInfo":60,"targetDuration":4,"studyType":62,"phases":63,"briefSummary":65,"conditions":66,"keywords":67,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":75,"lastUpdatePostDateStruct":76,"startDateStruct":78,"completionDateStruct":80,"leadSponsor":82,"locationsCount":49},"100618560","scheduled-positioning-with-a-peanutballspp-on-labor-outcomes-among-primiparous-women-under-epidural-analgesia-100618560","NCT07333209","Scheduled Positioning With a Peanutball(SPP) on Labor Outcomes Among Primiparous Women Under Epidural Analgesia","Determine the Impact of Scheduled Positioning With a Peanutball on Labor Outcomes Among Primiparous Women Under Epidural Analgesia: A Non-Invasive Randomized Controlled Trial","Peanutball","Inclusion Criteria:Inclusion Criteria:\n\nTo be eligible for participation, women must meet all the following criteria:\n\n* Primiparous (first pregnancy resulting in a live birth or stillbirth after 20 weeks of gestation).\n* Singleton at gestation.\n* Gestational age of the term (37 weeks 0 days to 41 weeks 6 days).\n* Admitted to the Labor and Delivery Unit at WWRC in active labor.\n* Received epidural analgesia for labor pain management.\n* Expected to have a vaginal delivery (e.g., no contraindications for vaginal birth identified at the time of recruitment).\n* Able to understand and communicate in Arabic or English.\n* Provide written informed consent.\n\nExclusion Criteria:The birthing ball should NOT be used in any of the following conditions:\n\n1. Obstetric Contraindications (Maternal)\n\n   * Any situation where vaginal birth is not appropriate (e.g., absolute indication for cesarean section)\n   * Non-progress of labor requiring immediate intervention\n   * Severe pre-eclampsia\u002Feclampsia\n   * Active vaginal bleeding of unknown cause\n   * Placenta previa (major) or vasa previa\n   * Placental abruption (suspected or confirmed)\n   * Preterm labor with medical contraindication to ambulation or mobility\n   * Ruptured membranes with unstable fetal head (high station) → Risk of cord prolapse\n   * Severe maternal exhaustion requiring bed rest\n   * Maternal hemodynamic instability\n2. Fetal Contraindications\n\n   * Non-reassuring fetal heart rate requiring continuous monitoring (Category II-III tracings)\n   * Malpresentation requiring immediate obstetric intervention (e.g., transverse lie)\n   * Suspected macrosomia with mechanical obstruction concerns (e.g., cephalopelvic disproportion)\n   * Multiple gestation with instability or complications\n3. Orthopedic \u002F Musculoskeletal Contraindications\n\n   * Any condition that prevents safe sitting, balancing, or weight-bearing, such as: Severe hips, leg, knee, or pelvic injuries\n   * Significant arthritis of the lower limbs or pelvis\n   * Recent joint surgery (hip\u002Fknee replacement, pelvic repair)\n   * Neuromuscular disorders affecting balance (e.g., severe neuropathy)\n   * Severe sciatica limiting mobility\n   * Poor trunk control or inability to maintain safe seated posture\n4. High-Risk Pregnancy Conditions\n\n   * Use of birthing balls is contraindicated if pregnancy is classified as high-risk, including Uncontrolled gestational diabetes and Uncontrolled hypertension\n   * Intrauterine growth restriction with required continuous monitoring\n   * Polyhydramnios or severe oligohydramnios (risk of cord compression\u002Finstability)\n   * Preterm premature rupture of membranes (PPROM)\n   * History of preterm birth with current instability\n   * Any condition requiring bed rest or reduced mobility\n5. Safety \u002F Environmental Contraindications\n\n   * Patients are unable to follow instructions or unsteady balance\n   * No trained staff available to supervise during labor use Unstable or improperly sized birthing ball","16 Years","55 Years",{"count":61,"type":21},110,"INTERVENTIONAL",[64],"NA","Brief Summary\n\nThe goal of this clinical trial is to evaluate whether scheduled maternal position changes using a peanut birthing ball improve labor outcomes in low-risk, primiparous women receiving epidural analgesia during labor. The main questions it aims to answer are:\n\nDoes scheduled maternal positioning with a peanut ball reduce the duration of the first and second stages of labor?\n\nDoes scheduled maternal positioning with a peanut ball influence mode of delivery and maternal and neonatal outcomes?\n\nThis non-invasive randomized controlled trial will be conducted at the Women's Wellness and Research Center in Qatar. Participants will be randomly assigned to either an intervention group receiving scheduled maternal position changes using a peanut birthing ball or a control group receiving standard intrapartum care without peanut ball use. Researchers will compare outcomes between the two groups to determine whether structured positioning with a peanut ball improves labor progression and delivery outcomes in women receiving epidural analgesia.\n\nParticipants in the intervention group will undergo scheduled position changes throughout labor using a peanut birthing ball, including left lateral, right lateral, semi-sitting, and Taylor positions, under the supervision of trained nursing and midwifery staff. Participants in the control group will receive routine intrapartum care following epidural analgesia without the use of a peanut ball or a structured positioning schedule.\n\nPrimary maternal outcomes include duration of the first and second stages of labor, mode of delivery, estimated blood loss, postpartum hemorrhage, use of oxytocin augmentation, degree of perineal trauma, and hospitalization cost. Neonatal outcomes include Apgar scores at 5 and 10 minutes, NICU admission, birth-related injuries, and umbilical cord blood pH. Findings from this study are expected to support evidence-based intrapartum care practices and inform clinical protocols for women receiving epidural analgesia.",[26],[56,68,69,70,71,72,73,74],"Scheduled positioning","Primiparous women","Randomized controlled trial","Non-invasive intrapartum intervention","Maternal labor outcomes","Neonatal outcomes","Epidural Analgesia","2025-12-31",{"date":77,"type":41},"2026-01-12",{"date":79,"type":21},"2026-01-01",{"date":81,"type":21},"2026-06-30",{"name":83,"class":84},"Hamad Medical Corporation","INDUSTRY",{"id":86,"slug":87,"hasResults":11,"nctId":88,"briefTitle":89,"officialTitle":90,"acronym":91,"eligibilityCriteria":92,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":93,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":95,"conditions":96,"keywords":99,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":105,"lastUpdatePostDateStruct":106,"startDateStruct":108,"completionDateStruct":110,"leadSponsor":111,"locationsCount":113},"100612813","two-previous-cesarean-and-vaginal-birth-before-and-after-starting-training-and-protocols-100612813","NCT07258459","Two Previous Cesarean and Vaginal Birth Before and After Starting Training and Protocols","Trial of Labor After Two CS Before and After Training a Protocol Introduction","TOLA2C Train","Inclusion Criteria:\n\n* pregnant women\n* pregnancy above 34 weeks' gestation\n* cephalic presentation of the fetus\n* singleton and twins\n* diamniotic twins\n* 2 previous CS\n* more than 18 months from last CS\n* no other indication to CS\n\nExclusion Criteria:\n\n* pregnancy below 34 weeks' gestation\n* breech baby\n* triplets or high order multiple pregnancies\n* more than 2 previous CS\n* less than 18 months from last CS\n* precence of other indications to CS (i.e. maternal diseases, placenta previa, etc.)",{"count":94,"type":21},2016,"In 2015 ObGyn Dept of Santo Spirito Hospital in Pescara (Italy) started protocol for previous CS vaginal birth. In 2021 was started a protocol for training on obstetric emergencies and protocol on two previous cesarean was endorsed. Patients attending birth in Pescara with two previous from january 2016 to December 2020, and from january 2021 to december 2025 were collected. A different counseling approach was adopted from 2021. Women's acceptance of trial of labor and maternal and fetal outcomes were collected.",[97,26,98],"Cesarean Delivery Affecting Fetus or Newborn","Hemorrhagic Complications",[100,101,102,103,104],"previous CS","trial of labor","maternal outcomes","fetal outcomes","neonatal outcomes","2025-11-20",{"date":107,"type":41},"2025-12-02",{"date":109,"type":41},"2016-01-01",{"date":79,"type":21},{"name":112,"class":48},"G. d'Annunzio University",2,{"id":115,"slug":116,"hasResults":11,"nctId":117,"briefTitle":118,"officialTitle":119,"acronym":120,"eligibilityCriteria":121,"healthyVolunteers":122,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":123,"targetDuration":4,"studyType":62,"phases":125,"briefSummary":126,"conditions":127,"keywords":4,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":135,"lastUpdatePostDateStruct":136,"startDateStruct":138,"completionDateStruct":140,"leadSponsor":142,"locationsCount":144},"100500082","the-norwegian-world-health-organisation-labour-care-guide-trial-norwel-100500082","NCT05791630","The Norwegian World Health Organisation Labour Care Guide Trial (NORWEL)","The Norwegian World Health Organisation Labour Care Guide Trial","NORWEL","Inclusion Criteria:\n\n* Women in active labour\n* Labour and delivery at study sites\n\nExclusion Criteria:\n\n* None",true,{"count":124,"type":21},23650,[64],"Appropriate and timely care during birth is critical to the survival and health of women and their babies. In 2020, the World Health Organization (WHO) presented the Labour Care Guide (LCG) as the new recommended tool for monitoring birth and assessing progression, replacing the WHO partograph. This evidence-based guide was designed to ensure improved quality and safety of care, and to avoid unnecessary interventions during birth. The LCG was developed to be used in all settings globally, but it has only been tested in health facilities in South America, Asia and Africa, while it has not been tested in high-income settings. Implementing a new guideline for monitoring birth is a comprehensive operation that will affect both the national economy, health systems, and individual patients; therefore, further research on the possible advantages is needed before national enrolment. Hence, the trial proposed in this application is crucial to form the required foundation of knowledge. The trial will be conducted in labour wards at ten hospitals, covering all health regions in Norway, and the established Norwegian Research Network for Clinical Studies in Obstetrics (NORBIRTH), with dedicated local principal investigators, will provide a robust research environment. This trial will test the effect of the LCG. Results from this trial will provide knowledge needed to determine a future implementation of the LCG in Norway.",[128,129,130,26,131,132,133,134],"Labor Dystocia","Labor Complication","Labor Onset and Length Abnormalities","Experience, Life","Progression","Cesarean Section Complications","Apgar; 4-7 at 1 Minute","2025-04-02",{"date":137,"type":41},"2025-04-04",{"date":139,"type":41},"2025-04-01",{"date":141,"type":21},"2030-12-31",{"name":143,"class":48},"Ostfold Hospital Trust",10,{"id":146,"slug":147,"hasResults":11,"nctId":148,"briefTitle":149,"officialTitle":150,"acronym":4,"eligibilityCriteria":151,"healthyVolunteers":11,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":152,"targetDuration":4,"studyType":62,"phases":154,"briefSummary":155,"conditions":156,"keywords":158,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":161,"lastUpdatePostDateStruct":162,"startDateStruct":164,"completionDateStruct":166,"leadSponsor":168,"locationsCount":171},"100482343","can-the-use-of-a-next-generation-partograph-improve-neonatal-outcomes-picrino-100482343","NCT05560802","Can the Use of a Next Generation Partograph Improve Neonatal Outcomes? (PICRINO)","Can the Use of a Next Generation Partograph Based on WHO's Latest Intrapartum Care Recommendations Improve Neonatal Outcomes? a Stepped-wedge Cluster Randomized Trial (PICRINO)","Inclusion Criteria:\n\n-All women in active labor\n\nExclusion Criteria:\n\n-No exclusion criteria",{"count":153,"type":21},120000,[64],"The overall aim is to evaluate the impact of the use of two different guidelines for monitoring labor progress, the WHOs LCG versus standard care, on neonatal and maternal outcomes. The hypothesis is that the use of LCG will reduce adverse neonatal outcomes and decrease the number of intrapartum Cesarean sections compared with standard care.\n\nSecondly, other perinatal interventions and complications will be compared between the LCG and standard care groups, as well as economic considerations. This will be investigated using a multicenter, stepped-wedge cluster randomized trial design.\n\nIn addition, the project will explore a series of quantitative and qualitative research questions to gain in-depth knowledge about experiences and perceptions about childbirth and the use of LCG. These research questions will be investigated using questionnaires, focus group and individual interviews with providers, partners and women that have gone through childbirth.",[157,26],"Neonatal Complication",[104,159,160],"obstetric outcomes","labour care guide","2024-10-19",{"date":163,"type":41},"2024-10-22",{"date":165,"type":41},"2023-11-15",{"date":167,"type":21},"2027-09",{"name":169,"class":170},"Linkoeping University","OTHER_GOV",24]