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IRCT2014050411360N1 IRCT 2014-05-11 Isfahan University of Medical Sciences Evidence Based Labor and Normal Delivery Management: A Mixed Methods Study The effectiveness of implementation of evidence based clinical practices on mother and newborn outcomes during normal labor and delivery 2014-05-10 anticipated 200 Complete https://irct.ir/trial/11626 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research. N/A Delivery. Intervention 1: Intervention group: The subjects in this group will receive evidence based care during normal labor and delivery. Intervention 2: Control group: This group will be received routine care of hospital during normal labor and delivery.
public Mina Iravani
Faculty of nursing and midwifery, Isfahan University of Medical Sciences, Iran
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 1668 7153 minairavani2004@yahoo.com; minairavani2004@gmail.com Isfahan University of Medical Sciences, Nursing and Midwifery School scientific Mina Iravani, Dr. Elahe Zarean, Dr.Mohsen Janghorbani
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran-Department of Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Isfahan Iran (Islamic Republic of) 8144503500 +98 31 1792 2774 minairavani2004@yahoo.com; minairavani2004@ gmail.com; zarean.elahe@gmail.com; zarean@med.mui.ac.ir; Isfahan University of Medical Sciences,Isfahan,iran Iran (Islamic Republic of) Inclusion criteria: intend to participation in study; low risk pregnant women; maternal age 18-35 years old; single pregnancy; gestational age 38-42 weeks; vertex presentation; spontaneous labor pain; vaginal dilatation between 3 and 4 centimeter; mother BMI 19.8-26 kg/m2; estimated fetal weight 2500-4000 gr. Exclusion criterion: unwillingness or reject of participation in study 18 years 35 years Female O80 Single spontaneous delivery Other Other Intervention group: The subjects in this group will receive evidence based care during normal labor and delivery Control group: This group will be received routine care of hospital during normal labor and delivery Duration of active phase and second stage of labor. Timepoint: Cervix dilatation from 4 centimeter to 10 centimeter for active phase of labor and cervix dilatation from 10 centimeter to delivery of newborn for second stage of labor. Method of measurement: Clinical examination/ Measurement by digital chronometer / record in check list. Labor Pain intensity. Timepoint: Measurement severity of pain during first and second stage of labor. Method of measurement: By visual analog scale/ record in check list. Frequency use of oxytocin during normal labor. Timepoint: During first and second stage of normal labor. Method of measurement: Observation / record in check list. Frequency use of routine episiotomy. Timepoint: Before of delivery. Method of measurement: Observation and record in check list. Post partum hemorrhage. Timepoint: After childbirth. Method of measurement: Measurement of HG and HCT level by blood sampling 12 and 24 h after childbirth. Spontaneous tears in perinea and vagina. Timepoint: After of delivery. Method of measurement: Observation / clinical examination/ record in check list. Method of delivery. Timepoint: After of delivery. Method of measurement: Observation and record in check list. Mother’s satisfaction of delivery. Timepoint: Before discharging of hospital. Method of measurement: Macky satisfaction questionnaire. Apgar score. Timepoint: 1 and 5 minute after of delivery. Method of measurement: Observation and record in check list. Frequency newborn admission to neonatal ward or NICU. Timepoint: After of delivery. Method of measurement: Observation and record in check list. Breast feeding during 30 min after birth. Timepoint: during30 min after birth. Method of measurement: Observation and record in check list. Average time of admission to discharge of mother. Timepoint: Of admission time to discharge. Method of measurement: Measurement by Digital chronometer / record in check list. Isfahan University of Medical Sciences Approved 2012-08-12 Ethics Committee of the Isfahan University of Medical Sciences Research Dupty of Isfahan University of Medical Sciences, Hezarjereeb Street, Isfahan, Iran. Isfahan Iran (Islamic Republic of)