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CUHK_CCRB00506
2016-04-12
Prospective
HMRF 12131001
Health and Medical Research Fund, Food and Health Bureau
The Chinese University of Hong Kong
N/A
Take on all the responsibilities of sponsorship jointly with the primary sponsor
Min Whui Fong
5/F, JC School of Public Health & Primary Care, Prince of Wales Hospital, Shatin
22528722
minwhui@cuhk.edu.hk
Division of Family Medicine & Primary Healthcare, JC School of Public Health & Primary Care
Hong Kong
TSANG Katrina
4/F, JC School of Public Health & Primary Care, Prince of Wales Hospital, Shatin
22528784
ktsang@cuhk.edu.hk
Division of Family Medicine & Primary Healthcare, JC School of Public Health & Primary Care
Hong Kong
Birth Ball for Pregnant Women in Labour - A Multi-Centre Randomised Controlled Trial
Hong Kong
紓緩分娩痛楚研究計劃
Labour pain study
Hong Kong
Yes
2014-06-08
Joint CUHK-NTEC Clinical Research Ethics Committee
2014.189-T
Maternal health
Pain relief
Labour
Pregnancy
Other
non-pharmacological
Birth balls, also called fitball or swissball, are large (55 cm or 65 cm) that provide a soft surface for women to sit on or lean against while carrying out simple exercises.
Birth balls can provide women with direct physical pain relief by improving pelvic dimensions, mobility and foetal positioning. Concurrently, women’s psychosocial wellbeing can be enhanced when they take an active role in their own care, thereby promoting a sense of control of their care and body postures, balance and coordination. Additionally, women’s caregivers (professional and lay) can use birth balls as a tangible means to support women throughout labour and delivery.
N/A
N/A
At least 15 minutes
During labour
N/A
N/A
N/A
N/A
N/A
Chinese women able to provide informed consent
Singleton pregnancy in cephalic presentation planned for vaginal birth
Gestational age of 37-42 weeks admitted into a single room in labour unit either in spontaneous active labour and second stage not imminent; or for induction of labour
Uncomplicated past obstetrical and antenatal history enabling them to be under independent midwifery care
Multiple pregnancy
Foetal malpresentation contraindicating vaginal delivery
Complicated pregnancy requiring close monitoring and restricted mobilization
History of caesarean delivery or caesarean delivery planned for this pregnancy
18
50
Female
Interventional
Randomized
Randomised intervention-control trial
Not Applicable
Single-blind
Trial subjects
Parallel
Other
Non-pharmacological study
To evaluate the effectiveness, safety and harms of birth ball use by pregnant women in labour compared to treatment as usual group on important and relevant woman-centred pregnancy and childbirth outcomes.
2016-04-17
960
Not Yet Recruiting
Pain intensity
Visual analogue scale (VAS) of a 10-cm horizontal line subdivided evenly with marks
Satisfaction with pain relief
Patient Outcome Questionnaire–Modified (APS-POQ Modified); b. Questions on willingness to use different analgesic methods in their next pregnancy and the most satisfied non-pharmacological method
Sense of control in labour
Chinese validated Labour Agentry Scale (c-LAS)
Satisfaction with childbirth experience
Six Simple Questions (SSQ)
Effect (negative) on mother-baby interaction
Validated Chinese version Postpartum Bonding Questionnaire (c-PBQ)
Breastfeeding
Data on the type of breastfeeding as defined by World Health Organization (WHO, (18)) is collected and the number of times per day in the 24-hour period preceding assessment
Assisted vaginal birth
Indications of vacuum extraction (VE) and forceps delivery (FD)
Caesarean section
Indication
Adverse effects
a. Maternal: perineal trauma (episiotomy or second or third degree tears requiring suturing); estimated blood loss; fever > 38 C; delayed hospital discharge; post-partum haemorrhage; abnormal blood pressure (high or low); need for labour augmentation; need for transfusion b. Infant: infection, dela
Admission to special care baby unit or neonatal intensive care unit
Indication and duration
Apgar score
Five-minute Apgar score less than seven
Infant outcomes at long-term follow-up
Medical problems such as neonatal jaundice, hospital re-admission, body length, body weight, developmental assessment by community nurse at 2-month visit.
Cost
Direct medical costs of pharmacological and hospitalisation utilisation. We will estimate cost using Hospital Authority (HA) unit price data or average market unit price where HA data is not available.
2016-09-14
ChiCTR-IIC-16008275
2016-04-12
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