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Early Diagnosis and Intervention for Fetal Malposition in Active Labor and Its Impact on Mode of Delivery

StatusRecruiting
PhaseNot applicable
Started
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Record status
This record was last updated September 11, 2025 (before its estimated September 1, 2026 completion). Its status may not reflect the trial's current state.

Record History

  1. Notable Trial status: Not Yet Recruiting to Recruiting
    • Primary and study completion dates: Jun 1, 2025 to Sep 1, 2026
    • Study sites: 0 to 1
    • Start date changed from estimate of Apr 28, 2024 to May 1, 2024
    v3
  2. Notable Start date: Dec 1, 2023 to Apr 28, 2024v2
  3. Minor Study First Submitted
  • Stopped: an ongoing trial was terminated, suspended or withdrawn.
  • Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
  • Minor: routine progress and housekeeping, such as sites added or enrollment closed.
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. Specifically, it aims to answer the questions: * 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? * Does changing the patient's position in active labor affect the position of the baby at the time of delivery? * Do intentional position changes in labor impact patient-perceived autonomy during their labor and delivery experience? Participants will: * Receive an ultrasound during labor to determine the position of their baby * Be asked to adopt a specific position in labor (side-lying with peanut ball) if they are randomized to the study group * Receive additional ultrasounds during labor to assess their baby's position * Fill out a questionnaire about their labor experience following the delivery of their baby
Trial Details
NCT Number NCT05881629
Lead Sponsor Women and Infants Hospital of Rhode Island
Conditions
(from sponsor)
Cesarean Delivery Affecting Fetus, Labor Dystocia, Labor Complication
Related terms Dystocia, Obstetric Labor Complications
Enrollment 200 participants
Start Date
Primary Completion (estimated)
Study Completion (estimated)
Updated on ClinicalTrials.gov