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IRCT20181214041963N2 IRCT 2023-02-03 Ahvaz University of Medical Sciences Design, Implementation and Evaluation of a plan for Labor and Normal Delivery Design, Implementation and Evaluation of a plan for Labor and Normal Delivery Based on Evidence-Based Clinical Practice: A mixed methods evaluation design 2023-04-04 anticipated 256 Complete https://irct.ir/trial/68372 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Sampling will be done by the available method. In this way, since the beginning of the study, all mothers who meet the entry criteria and do not meet the exit criteria have been selected as samples, and this work will continue until the final sample size is reached. allocation to random groups: Research units will be assigned to intervention and control groups using random block method (six blocks). In this way, first 6 possible states of blocks (AABB, ABAB, BBAA, BABA, ABBA, BAAB) are listed and a number from one to six will be assigned to each block. Then a number between one and six is randomly selected using the random number table, and then people are selected based on the block corresponding to the number. will be assigned to the intervention (A) and control (B) groups. This work will continue until the sample volume is completed, Blinding description: The statistical analyst is unaware of the type of intervention and control groups. N/A Design, Implementation and Evaluation of a plan for Labor and Normal Delivery. Intervention 1: Intervention group: In the intervention group of the Department of Labor and Natural Birth, it will be performed by trained midwives based on the evidence-based designed program. Intervention 2: Control group: In the control group, the Department of Labor and Natural Delivery will be performed according to the routine care of the hospital by providers other than trained people. Yes - There is a plan to make this available What will be shared: The reviewed data can be shared without mentioning the names of people When: The access period starts 6 months after the results are published To whom: Policymakers, researchers in academic and scientific institutions Conditions: If you have an official letter from the scientific center Where to obtain: Request from the printed magazine and indexed sites, request via e-mail of the project manager How to obtain: 6 months after completing the study of the application, the data will be sent to the project manager, if the conditions are met, up to two months. Comments:
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Ahvaz Iran (Islamic Republic of) 15794 - 61357 +98 61 3311 0000 minairavani2004@gmail.com Ahvaz University of Medical Sciences Iran (Islamic Republic of) Consent to participate in the study primiparous women singleton pregnancy live fetus maternal age 15-49 years gestational age 37 to 42 weeks (based on the first day of the last menstrual period or first trimester ultrasound) cephalic presentation normal fetal heart rate (110 -160) 15 years 49 years Female history of any incision on the uterus - detection of abnormal dimensions of the pelvis through vaginal examination and examination of ischial spines, obstetric conjugation, sacrum concavity, condition of pelvic wall(s) and pubic arch angle abnormal bleeding epidural anesthesia presence of any abnormalities in soft tissue or Bony birth canal (diagnosed through vaginal examination) having an abnormal fetus or intrauterine growth restriction indication for cesarean section (fetal distress, prolapse of the umbilical cord, diagnosis of absolute pelvic stenosis by the doctor) known medical diseases based on the patient's file including history or current suffering from any systemic disease such as diabetes, high blood pressure, heart disease, kidney disease, nervous disease, liver disease, digestive disease, respiratory disease, thyroid disease) Fetal membranes that have been ruptured for more than 8 hours High-risk pregnancy (preeclampsia, placenta previa, Placental abruption, chorioamnionitis, placenta accreta) N/A N/A Intervention group: In the intervention group of the Department of Labor and Natural Birth, it will be performed by trained midwives based on the evidence-based designed program. Control group: In the control group, the Department of Labor and Natural Delivery will be performed according to the routine care of the hospital by providers other than trained people. Type of delivery. Timepoint: after the study. Method of measurement: Questionnaire. Satisfaction with childbirth. Timepoint: after the study. Method of measurement: Mackey questionnaire. Childbirth Experience. Timepoint: after the study. Method of measurement: Childbirth Experience Questionnaire. The pain of childbirth. Timepoint: During the study. Method of measurement: Visual Analogue Scale. The length of labor stages. Timepoint: During the study. Method of measurement: Check list. Apgar first and fifth minutes. Timepoint: After the intervention. Method of measurement: check list. Hospitalization in the neonatal intensive care unit. Timepoint: After the intervention. Method of measurement: check list. Postpartum bleeding. Timepoint: During the study. Method of measurement: check list. Genital lacerations. Timepoint: During the study. Method of measurement: check list. Early breastfeeding. Timepoint: During the study. Method of measurement: check list. Ahvaz University of Medical Sciences Approved 2023-01-28 Research Ethics Committees of Ahvaz Jundishapur University of Medical Sciences Golestan Ahvaz Khouzestan Iran (Islamic Republic of)