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NCT07635771
Development of a Multidimensional Predictive Model of Dystocic Labor. Association of Physical Condition and Psychosocial Factors With the Birth Process and Breastfeeding Success.
Conditions: Labor and Childbirth, Labor (Obstetrics)--Complications, Hand Strength, Physical Conditioning, Human, Tocophobia, Self Efficacy, Breastfeeding
Sex: Female
Ages: 18 Years – N/A
Healthy volunteers: No
Enrollment: 420
Sponsor: Institut Investigacio Sanitaria Pere Virgili
Location: Hospital de Tortosa Verge de la Cinta Tortosa Tarragona
Summary
The goal of this observational study is to learn how a pregnant woman's physical fitness and emotional well-being can help predict the type of birth she will have (such as a natural vaginal birth versus a cesarean section or a birth requiring medical assistance). The study focuses on pregnant women in their third trimester (after 28 weeks of pregnancy).
The main questions the study aims to answer are:
* Can simple tests of physical strength and questions about emotions (like fear of childbirth) help health professionals predict if a birth might have complications or lack of progress?
* Do a woman's physical activity and confidence levels during pregnancy affect her ability to successfully breastfeed her baby for up to 6 months?
Participants will be asked to:
* Perform two simple physical tests during a clinic visit: a hand-grip test (dynamometry test) and a test to see how many times they can stand up from a chair in 30 seconds (Chair Stand Test, CST).
* Complete surveys about their daily physical activity (PPAQ-S), their feelings and fears regarding childbirth (WDEQ-A), and how confident they feel about handling the final stage of birth and the pushing phase (CBSEI-16).
* Answer brief follow-up phone calls one month and six months after the birth to talk about how breastfeeding is going.
Eligibility Criteria
Inclusion Criteria:
* Pregnant women aged 18 years or older
* Low-to-moderate risk pregnancy
* Singleton pregnancy
* Third trimester of pregnancy (\>28 gestational weeks)
* Understanding of the official languages
* Acceptance and signing of the participant information sheet and informed consent form
* Availability of an electronic device to complete the forms
Exclusion Criteria:
* Medical contraindication for light physical activity
* Severe cardio-respiratory or musculoskeletal pathology
* Elective cesarean section
* Severe fetal malformations
Source: ClinicalTrials.gov (NCT07635771). StuddyBuddy aggregates publicly available trial information.