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New treatment option for Labor (Obstetrics)--Complications
Official title Scheduled Positioning With a Peanutball(SPP) on Labor Outcomes Among Primiparous Women Under Epidural Analgesia
ClinicalTrials.gov ID: NCT07333209
What this study is testing
- What it's testing
- Brief Summary The goal of this clinical trial is to evaluate whether scheduled maternal position changes using a peanut birthing ball improve labor outcomes in low-risk, primiparous women receiving epidural analgesia during labor. The main questions it aims to answer are: Does scheduled maternal positioning with a peanut ball reduce the duration of the first and second stages of labor?
- Which group you join is decided by chance.
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 16 to 55, women only
You may be able to join if
- To be eligible for participation, women must meet all the following criteria:
- Primiparous (first pregnancy resulting in a live birth or stillbirth after 20 weeks of gestation).
- Singleton at gestation.
- Gestational age of the term (37 weeks 0 days to 41 weeks 6 days).
- Admitted to the Labor and Delivery Unit at WWRC in active labor.
You likely can't join if
- The birthing ball should NOT be used in any of the following conditions:
- Obstetric Contraindications (Maternal)
- Any situation where vaginal birth is not appropriate (e.g., absolute indication for cesarean section)
- Non-progress of labor requiring immediate intervention
- Severe pre-eclampsia/eclampsia
- Active vaginal bleeding of unknown cause
See the full eligibility criteria
- To be eligible for participation, women must meet all the following criteria:
- Primiparous (first pregnancy resulting in a live birth or stillbirth after 20 weeks of gestation).
- Singleton at gestation.
- Gestational age of the term (37 weeks 0 days to 41 weeks 6 days).
- Admitted to the Labor and Delivery Unit at WWRC in active labor.
- Received epidural analgesia for labor pain management.
- Expected to have a vaginal delivery (e.g., no contraindications for vaginal birth identified at the time of recruitment).
- Able to understand and communicate in Arabic or English.
- Provide written informed consent.
- The birthing ball should NOT be used in any of the following conditions:
- Obstetric Contraindications (Maternal)
- Any situation where vaginal birth is not appropriate (e.g., absolute indication for cesarean section)
- Non-progress of labor requiring immediate intervention
- Severe pre-eclampsia/eclampsia
- Active vaginal bleeding of unknown cause
- Placenta previa (major) or vasa previa
- Placental abruption (suspected or confirmed)
- Preterm labor with medical contraindication to ambulation or mobility
- Ruptured membranes with unstable fetal head (high station) → Risk of cord prolapse
- Severe maternal exhaustion requiring bed rest
- Maternal hemodynamic instability
- Fetal Contraindications
- Non-reassuring fetal heart rate requiring continuous monitoring (Category II-III tracings)
- Malpresentation requiring immediate obstetric intervention (e.g., transverse lie)
- Suspected macrosomia with mechanical obstruction concerns (e.g., cephalopelvic disproportion)
- Multiple gestation with instability or complications
- Orthopedic / Musculoskeletal Contraindications
- Any condition that prevents safe sitting, balancing, or weight-bearing, such as: Severe hips, leg, knee, or pelvic injuries
- Significant arthritis of the lower limbs or pelvis
- Recent joint surgery (hip/knee replacement, pelvic repair)
- Neuromuscular disorders affecting balance (e.g., severe neuropathy)
- Severe sciatica limiting mobility
- Poor trunk control or inability to maintain safe seated posture
- High-Risk Pregnancy Conditions
- Use of birthing balls is contraindicated if pregnancy is classified as high-risk, including Uncontrolled gestational diabetes and Uncontrolled hypertension
- Intrauterine growth restriction with required continuous monitoring
- Polyhydramnios or severe oligohydramnios (risk of cord compression/instability)
- Preterm premature rupture of membranes (PPROM)
- History of preterm birth with current instability
- Any condition requiring bed rest or reduced mobility
- Safety / Environmental Contraindications
- Patients are unable to follow instructions or unsteady balance
- No trained staff available to supervise during labor use Unstable or improperly sized birthing ball
The study team makes the final eligibility decision.
Where it's taking place
- Doha, Baladiyat ad Dawhah, Qatar
Compensation & support
Compensation mentioned.
ClinicalTrials.gov doesn't provide a reliable structured field for payment or travel support - confirm details with the study team.
Questions & answers
Do participants get paid in this trial?
This study's listing includes signals that participants may be compensated or receive a stipend. Amounts vary and are set by the study team - confirm the details with them.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling female, 16 years to 55 years. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Doha, Baladiyat ad Dawhah, Qatar. Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.