A randomised controlled trial investigating the effect of POSition IN LABour and effect on pudendal nerve physiology

ISRCTN ISRCTN86358094
DOI https://doi.org/10.1186/ISRCTN86358094
Secondary identifying numbers 1
Submission date
15/01/2007
Registration date
03/05/2007
Last edited
10/10/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Colm O Herlihy
Scientific

UCD School of Medicine and Medical Science
University College Dublin
National Maternity Hospital
Holles Street
Dublin
2
Ireland

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymPOSINLAB
Study objectivesThe hypothesis of the trial is that direct pressure on the pudendal nerve and or sacral plexus during the first stage of labour rather than traction on the pelvic floor during the second stage of labour is supported by previous observations of our research group. Firstly pudendal nerve latency has been consistently shown to be prolonged more on the left than on the right. Secondly caesarean delivery late in labour does not prevent changes in pudendal nerve terminal motor latency.
Ethics approval(s)Ethics Committe of the National Maternity Hospital, 12/09/2002.
Health condition(s) or problem(s) studiedPudendal nerve neuropathy
InterventionIt is proposed to randomise sixty primparous women in the first stage of labour to conventional nursing on the left side or nursing on alternate sides every 30 minutes. Delivery would be in the left lateral position in group one and in the lithotomy positon in group two.

Pelvic floor Electromyography (EMG), anorectal manometry and continence scoring would be performed at the six week postnatal check.
Intervention typeOther
Primary outcome measureThe effects on pudendal nerve motor latency
Secondary outcome measuresThe difference in anaorectal manometry and continence scoring between the groups
Overall study start date01/02/2007
Completion date30/06/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants60
Key inclusion criteriaPrimiparous healthy patients who are in labour with a single cephalic foetus
Key exclusion criteria1. Patients with a history of bowel symptoms or bowel surgery
2. Patients without fluent English
3. Diabetic patients
4. Patients attending the hospital High Risk Clinic
Date of first enrolment01/02/2007
Date of final enrolment30/06/2007

Locations

Countries of recruitment

  • Ireland

Study participating centre

UCD School of Medicine and Medical Science
Dublin
2
Ireland

Sponsor information

Health Research Board of Ireland (Ireland)
Government

73 Lower Baggot Street
Dublin
2
Ireland

Website http://www.hrb.ie/
ROR logo "ROR" https://ror.org/003hb2249

Funders

Funder type

Government

Health Research Board of Ireland (Ireland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan