Clinical trials: Labor, Second Stage
Simulation
Alternative Birth Positions During the Second Stage
Simulation training provided before clinical practice at many universities helps students feel confident and well prepared for the clinical environment.
- Trial name
- NCT06832332
- Testing
- alternative birthing positions
- Volunteers
- 60 people, healthy volunteers welcome
- Sponsor
- Burdur Mehmet Akif Ersoy University
Cesarean Section
Reducing Cesarean Childbirth Rates Using the Hem-Avert Perianal Stabilizer
This study is being conducted to evaluate an FDA approved device called the HEM-AVERT® Perianal Stabilizer and the efficacy in reducing the C-section rate and/or reducing the second stage of labor times.
- Trial name
- NCT02167438
- Testing
- Hem-Avert Perianal Stabilizer
- Where
- United States
- Volunteers
- 117 people, healthy volunteers welcome
- Sponsor
- Stetrix, Inc.
Labor Long, Labour;Obstructed
Biofeedback for Second Stage of Labor
The purpose of this study is to examine whether transperineal ultrasound as visual biofeedback can be used during labor as an effective tool for shortening the second stage of labor and reducing the need for instrumental…
- Trial name
- NCT04210908
- Testing
- Visual biofeedback
- Where
- Israel
- Volunteers
- 100 people, healthy volunteers welcome
- Sponsor
- Assuta Ashdod Hospital
Perineal Trauma, Ritgen Maneuver
Ritgen Maneuver and Birth-Related Perineal Trauma: RCT
Perineal trauma is one of the common complications that may occur during the second stage of labor and can negatively affect women's postpartum recovery and quality of life.
- Trial name
- NCT07713173
- Testing
- Ritgen maneuver, Routine Care Group
- Where
- Turkey (Türkiye)
- Volunteers
- 122 people, healthy volunteers welcome
- Sponsor
- Medipol University
Length of Labor, Second Stage of Labor
Effects of Rate and/or Presence of Dextrose on the Labor Course of Nulliparas
This randomized controlled trial aims to compare three groups of intravenous fluids and their impact on labor: 1) 125 mL/hr of 5% dextrose in normal saline 2) 250 mL/hr of normal saline 3) 250 mL/hr of 5% dextrose in normal saline
- Conditions
- Length of Labor, Second Stage of Labor, Intravenous Hydration of Labor
- Trial name
- NCT01904617
- Testing
- Dextrose, Normal Saline
- Where
- United States
- Volunteers
- 300 people, healthy volunteers welcome
- Sponsor
- MemorialCare Health System
Labor; Prolonged, Second Stage, Episiotomy Wound
The Impact of Different Skin Suture Methods in Episiotomy Repair on Healing and Pain
Episiotomy is the intentional incision of the perineum during vaginal birth in order to accelerate the active phase of labor. This study aimed to compare various skin closure techniques in episiotomy repair.
- Trial name
- NCT06379048
- Testing
- Mattress Suturing, Primary Suturing, Continuous Subcutaneous Suturing
- Where
- Turkey (Türkiye)
- Volunteers
- 132 people, healthy volunteers welcome
- Sponsor
- Başakşehir Çam & Sakura City Hospital
Heat Therapy, Perineal Tear
The Effect of Using Perineal Warm Compress Techniques During the Second Stage of Labor on Perineal Outcomes
The goal of the clinical trial is to determine the effect of second-stage warm compress application on perineal pain and trauma among primiparous women.
- Conditions
- Heat Therapy, Perineal Tear, Pain, Labor
- Trial name
- NCT05955352
- Testing
- Perineal warm compression Technique
- Where
- Nepal
- Volunteers
- 46 people, healthy volunteers welcome
- Sponsor
- Tribhuvan University, Nepal
Labor Pain, Pregnancy
The Association Between Decreasing Labor Analgesia Epidural Infusion and Forceps Delivery
The objective of this study will be to compare epidural infusion management, specifically looking at infusion rate changes, in patients who receive forceps deliveries versus normal spontaneous vaginal deliveries.
- Trial name
- NCT00443560
- Testing
- Case controlled analysis of epidural labor analgesia patterns
- Where
- United States
- Volunteers
- 2,162 people, healthy volunteers welcome
- Sponsor
- Northwestern University
Second Stage of Labor
Dental Support and the Second Stage of Labor Among Multiparous Women
To assess if the use of the dental support device( DSD) Laboraide™ shortens the second stage of labor and decreased the rate of obstetrical interventions, and if it's use alleviate pain.
- Trial name
- NCT02642120
- Testing
- Dental device "Laboraide"
- Volunteers
- 500 people, healthy volunteers welcome
- Sponsor
- Tel-Aviv Sourasky Medical Center
Labor, Second Stage
Urinary Catheterization and Second Stage of Labor
Labor is divided into three stages: the first stage is from labor onset until full dilation, second stage is from full dilation until delivery of the baby, and the third stage from the delivery of the baby until the delivery of…
- Trial name
- cath2stage (NCT02198157)
- Testing
- urinary catheterization
- Where
- Israel
- Volunteers
- 184 people, healthy volunteers welcome
- Sponsor
- Raed Salim
Dystocia; Fetal, Labor Long
Mouth Guard Use in the Second Stage of Labor
Shortening the second stage of labor, the time spent pushing the baby out, is important for positive mother and infant's outcomes.
- Conditions
- Dystocia; Fetal, Labor Long, Cesarean Section, Affecting Fetus or Newborn
- Trial name
- NCT03520530
- Testing
- Mouth Guard
- Where
- United States
- Volunteers
- 154 people, healthy volunteers welcome
- Sponsor
- Christiana Care Health Services
Instrumental Delivery, NEC, Affecting Fetus or Newborn
PROPENSITY-ID: Sonographic and Clinical Assessment of Head Position Prior to Instrumental Delivery and Labour Outcomes
Instrumental delivery is performed in 3-15% of all births (1). Successful instrumental delivery avoids need for cesarean section with associated maternal surgical morbidity, risk from neonatal disimpaction and future pregnancy…
- Conditions
- Instrumental Delivery, NEC, Affecting Fetus or Newborn, Second Stage Cesarean Delivery, Occiput Position
- Trial name
- PROPENSITYID (NCT05557097)
- Testing
- Intrapartum sonography
- Where
- Italy
- Volunteers
- 2,282 people, healthy volunteers welcome
- Sponsor
- University of Parma
Prolonged Second Stage of Labor
Evaluation of Maternal Feedback to Shorten Pushing Efforts During Labor
This study will assess the ability for continuous electronic feedback to reduce the length of second stage labor and improve maternal and fetal outcomes.
- Trial name
- NCT02648867
- Testing
- Continuous Maternal Feedback
- Where
- 3 sites in United States
- Volunteers
- 10 people, healthy volunteers welcome
- Sponsor
- Clinical Innovations, LLC
Pregnancy
Effects of Bupivacaine Induced Motor Blockade During the Second Stage of Labor
The aim of this study is to measure the effects of bupivacaine administered via epidural catheters on indices of motor blockade ascertained during the second stage of labor.
- Trial name
- BUP (NCT01621230)
- Testing
- Epidural Bupivacaine plus fentanyl, Epidural fentanyl
- Where
- United States
- Volunteers
- 481 people, healthy volunteers welcome
- Sponsor
- University of Texas Southwestern Medical Center
Pregnancy
Optimizing Management of the 2nd Stage of Labor: Multicenter Randomized Trial
The investigators propose a large, multicenter, randomized clinical trial of immediate versus delayed pushing for nulliparous women in labor at term reaching complete cervical dilation.
- Trial name
- OMSS (NCT02137200)
- Testing
- Immediate pushing, Delayed pushing
- Where
- 6 sites in United States
- Volunteers
- 2,414 people, healthy volunteers welcome
- Sponsor
- Washington University School of Medicine
Labor
Dental Support Device in the Second Stage of Labor
Obstetric practices now allow for prolonged second stage of labor to accomplish vaginal delivery. However, this practice may lead to either operative delivery (vacuum or forceps assisted delivery) or cesarean section with…
- Trial name
- NCT03138798
- Testing
- Laboraide TM dental support device
- Where
- United States
- Volunteers
- 348 people, healthy volunteers welcome
- Sponsor
- Angela Bianco
Labor Stage, Second
Obstetrical Gel Use to Shorten Labor and Prevent Lower Genital Tract Trauma
Recent literature shows that birth injury is associated with postpartum pelvic floor dysfunction (pelvic organ prolapse and fecal and urinary incontinence).
- Trial name
- NCT03518684
- Testing
- Natalis
- Where
- Lebanon
- Volunteers
- 160 people, healthy volunteers welcome
- Sponsor
- American University of Beirut Medical Center
Labor Complication, Avulsion
The Association Between Kristeller Maneuver and Pelvic Floor Trauma After Vaginal Delivery
We want to investigate the association between fundal pressure in the second stage and the risk of levator ani muscle (LAM) injury.
- Trial name
- NCT03752879
- Testing
- Fundal Pressure
- Where
- Turkey (Türkiye)
- Volunteers
- 86 people, healthy volunteers welcome
- Sponsor
- Bezmialem Vakif University
Oxygen Inhalation Therapy, Second Stage of Labour
Maternal Oxygen Administration for Fetal Distress
Supplementary oxygen is routinely administered to patients, even those with adequate oxygen saturations, in the belief that it increases oxygen delivery.
- Conditions
- Oxygen Inhalation Therapy, Second Stage of Labour, Fetal Distress
- Trial name
- NCT02221440
- Testing
- Low flow nasal oxygen, Low flow room air
- Where
- 3 sites in China
- Volunteers
- 443 people, healthy volunteers welcome
- Sponsor
- Navy General Hospital, Beijing
Obstetric Labor Complications
The Effect of Perineal Massage in Childbirth
Objective To examine the effects of perineal massage applied during the action of birth on the frequency of episiotomy procedures, perineal tearing and the duration of the second stage of birth.
- Trial name
- NCT02201615
- Testing
- Perineal massage in childbirth
- Where
- Turkey (Türkiye)
- Volunteers
- 284 people, healthy volunteers welcome
- Sponsor
- Cumhuriyet University