An interventional study of Continuous Intrapartum Support in Cesarean Section Complications, sponsored by IMSS Hospital General de Zona 4, Celaya, Guanajauto, Mexico. Completed at 1 site in Mexico. Open to female participants aged 14 Years to 40 Years. Per ClinicalTrials.gov, last updated 2019-09-11.
Sponsored by IMSS Hospital General de Zona 4, Celaya, Guanajauto, Mexico · Not applicable, Interventional, and Supportive care
The objective of the study was to evaluate the intervention of intrapartum continuous support by a professional nurse with a university degree to reduce the nulliparous, term, singleton, vertex (NTSV) cesarean birth rate, in women pregnant less than 40 years in the HGZ No. 4 of the Guanajuato delegation of the Mexican Institute of Social Security, Mexico
Continuous intrapartum support is a strategy used to decrease the cesarean section rate, where multiple factors influence its effectiveness (start and duration of support, professional training of support staff, and others.). The objective of the study was to decrease the rate of deliveries by cesarean, through continuous intrapartum support during the active phase until birth, by a professional nurse with a university degree, the support was based on three basic aspects: 1) emotional support, 2) physical support and comfort measures and 3) information and counseling, for which a quasi-experimental study was conducted, with a study population of 115 women in labour (nulliparous, full-term, single product, vertex position) and under 40 years, a group control was formed (n = 55) who received routine maternal care and a study group (n = 60) who received continuous intrapartum support.
This is the only study on the registry with IMSS Hospital General de Zona 4, Celaya, Guanajauto, Mexico as lead sponsor.
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Exclusion Criteria:
Continuous intrapartum support was based on three basic aspects: 1) emotional support, 2) physical support and comfort measures and 3) information and advice.
Procedure: Continuous Intrapartum Support
The no intervention group received the usual obstetric care, without continuous intrapartum support.
Received the usual obstetric care plus continuous intrapartum support that was provided by a Bachelor of Nursing and Obstetrics who received prior training by a professional doula.
Cesarean delivery rate
Percentage de cesarean section in the arms
Time frame: Until the occurrence of delivery (expected range from 6 hours to 12 hours)
Time of labour
Labour covered the period of time from the active phase to birth. (Hours)
Time frame: From the active phase up to delivery (expected range from 6 hours to 12 hours)
Apgar score
Is a quick test performed on a baby at 1 and 5 minutes after birth
Time frame: At 1 and 5 minutes after delivery
Obstetric analgesia
If obstetric analgesia was applied to reduce the pain of labour. (Yes/No) If obstetric analgesia was applied to reduce the pain of labour. (Yes/No)
Time frame: From the active phase up to delivery (expected range from 6 hours to 12 hours)
Induction of labour
If oxytocin was used to induce labour. (Yes/No).
Time frame: start of active phase (up to 1 hour)
Plan to share: Yes — Through a public web address
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: Since its publication, minimum 5 years.
Access criteria: web address
Data sharing details ↗ · i0000.clarodrive.com
Ran from Oct 2018 to primary completion in Dec 2018, 2 months.
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This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.
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