Unique ID issued by UMIN | UMIN000025756 |
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Receipt number | R000029634 |
Scientific Title | The effects of video lecture on expulsive efforts of women receiving epidural analgesia for labor and delivery |
Date of disclosure of the study information | 2017/01/20 |
Last modified on | 2017/01/20 10:14:17 |
The effects of video lecture on expulsive efforts of women receiving epidural analgesia for labor and delivery
The effects of video lecture on expulsive efforts of women receiving epidural analgesia for labor and delivery
The effects of video lecture on expulsive efforts of women receiving epidural analgesia for labor and delivery
The effects of video lecture on expulsive efforts of women receiving epidural analgesia for labor and delivery
Japan |
Pregnant women requesting labor pain epidural
Anesthesiology |
Others
NO
Expulsive efforts add to the force of uterine contractions to hasten descent and shorten the second stage of labor. It is said to be difficult for women receiving effective analgesia to feel uterine contraction, urge to push and push effectively. However, there have been no reports on the expulsive efforts of women receiving epidural analgesia. Therefore, we conduct this study. First, we compare the effectiveness of expulsive efforts between labor epidural group and no-analgesia group. Secondly, we assess the effects of the educational video which we make for the purpose of demonstrating expulsive effort such as posture, breathing, and following the midwives' lead on the parturients' pushing and attitude to pushing.
Efficacy
Expulsive efforts assessed by midwives on the day of delivery
Interventional
Parallel
Non-randomized
Open -but assessor(s) are blinded
Placebo
2
Educational,Counseling,Training
Maneuver |
[first step study][second step study]
We hand the questionnaire to midwives.Within 24 hours after delivery, midwives assess the parturients' pushing and attitude to pushing subjectively.
[second step study]
1. We measure the diameter of internal juglar vein with ultrasound at just before pushing and during pushing.
2. We measure the circumference of the abdomen at the height of umbilicus at just before pushing and during pushing.
3. We measure R-R interval of electrocardiograph at just before pushing and during pushing.
4. We measure the lowest heart rate at just before pushing and during pushing.
[second step study]
We assess the effects of the educational video which we make for the purpose of demonstrating expulsive effort such as posture, breathing, and following the midwives' lead on the parturients' pushing and attitude to pushing and parturient progress.
We divide parturients planninng epidural analgesia for labor and delivery and receiving the childbirth class in our hospital into the following two groups.Parturients of group A watch the educational video in addition to ordinary explanation about epidural analgesia. Parturients of group B watch non-educational video in addition to ordinary explanation about epidural analgesia. Moreover, we emphasize the importance of effective expulsive efforts to the parturients of group A.
20 | years-old | <= |
55 | years-old | >= |
Female
[first step study]
1. parturients planninng the vaginal delivery in our hospital
2. age>20
3. parturients written informed consent
[second step study]
1. parturients planninng epidural analgesia for labor and delivery and receiving the childbirth class in our hospital
2. age>20
3. parturients written informed consent
[first step study]
1. parturients with mental diseases
2. parturients with diseases which may be exacerbated by strong expulsive efforts
3. parturients with neuromuscular diseases
4. parturients with difficulty in language communication
[in addition to above , in case of parturients planninng epidural analgesia for labor and delivery ]
5. parturients with contraindications of epidural analgesia
6. parturients whom the anesthesia range don't extend from tenth thracic spnal cord to third sacral cord
[second step study]
1. parturients with mental diseases
2. parturients with diseases which may be exacerbated by strong expulsive efforts
3. parturients with neuromuscular diseases
4. parturients with difficulty in language communication
5. parturients with contraindications of epidural analgesia
6. parturients whom the anesthesia range don't extend from tenth thracic spnal cord to third sacral cord
200
1st name | |
Middle name | |
Last name | Hitomi Asaba |
Hamamatsu university hospital
department of anesthesiology and intensive care
1-20-1 Handayama, Higashi Ward, Hamamatsu City, Shizuoka, Japan
053-435-2738
hitomi.a@hama-med.ac.jp
1st name | |
Middle name | |
Last name | Hitomi Asaba |
Hamamatsu university hospital
department of anesthesiology and intensive care
1-20-1 Handayama, Higashi Ward, Hamamatsu City, Shizuoka, Japan
053-435-2738
hitomi.a@hama-med.ac.jp
Hamamatsu university hospital
none
Other
NO
2017 | Year | 01 | Month | 20 | Day |
Unpublished
2016 | Year | 07 | Month | 15 | Day |
2016 | Year | 07 | Month | 15 | Day |
2017 | Year | 01 | Month | 20 | Day |
2017 | Year | 01 | Month | 20 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029634
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