To compare the ability to pass urine by either using a bedpan or mobilising to the toilet for women in their first labour

Authors
Category Primary study
Registry of TrialsISRCTN registry
Year 2019
INTERVENTION: Nulliparous in labour with recent cervical dilatation 4 cm ‐ 8 cm without any sign of second stage are recruited when they have the urge to micturate or palpable bladder, with >300ml of bladder volume by scan. They are randomised to either use the bedpan or mobilise to the toilet. Micturition is considered satisfactory if residual urine volume <150 ml. If =150ml, the participant crosses over to the other arm. In‐out catheterisation is considered if both methods fail and residual urine volume is >250 ml. CONDITION: Bladder needs or micturition for nulliparous in labour ; Pregnancy and Childbirth PRIMARY OUTCOME: Satisfactory micturition (residual urine volume < 150 ml) is measured using an ultrasound machine prior to and after voiding. SECONDARY OUTCOME: ; 1. Frequency of in‐out catheterization during the first stage of labour.; 2. Duration of the second stage of labour (from the onset of full cervical dilatation to delivery of the baby).; 3. Number of instrumental delivery (whether patient ends up with instrumental delivery).; 4. Number of patients that undergo cesarean section.; 5. Estimated blood loss during delivery.; 6. Maternal satisfactory is measured using the Scale for Measuring Maternal Satisfaction prior to randomisation and prior to cross‐over.; INCLUSION CRITERIA: Current inclusion criteria as of 29/07/2019: 1. Aged 18 years and above 2. Nulliparous (first labour and no prior delivery beyond 20 weeks of gestation) in labour with recent cervical dilatation (within 2 h) of 4 cm – 8 cm and without any external sign of second stage and rectal pressure 3. Membrane ruptured 4. Singleton live fetus 5. Cephalic presentation 6. Contraction pain of at least 3 in 10 min lasting for at least 15 s 7. Urge to micturate and/or palpable bladder 8. Bladder volume of at least 300 ml by ultrasound scan 9. Participant has not previously experienced using a bedpan or urine catheter to pass urine Previous INCLUSION CRITERIA: 1. Aged 18 years and above 2. Nulliparous (first labour and no prior deliv
Epistemonikos ID: d04996ab2d9afae19b833840580eabd60509800a
First added on: Aug 24, 2024