Could a simple Side-Lying position shorten labor and reduce C-Sections?
NCT ID NCT07745192
First seen Aug 04, 2026 · Last updated Aug 05, 2026 · Updated 1 time
Summary
This trial tests whether a specific side-lying position—with the hip bent and the thigh rotated inward—can make the pushing phase of labor faster and safer for first-time mothers who have an epidural. About 230 women will be randomly assigned to use either this modified position or the standard side-lying position during the second stage of labor. Researchers will compare how long pushing lasts, the need for interventions like forceps or cesarean delivery, and outcomes for both mother and baby.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A modified lateral birthing position with hip flexion and femoral internal rotation
- What this could lead to
- If effective, this simple positioning technique could shorten the pushing phase and reduce the need for forceps or cesarean deliveries during childbirth.
- What could go wrong
- The trial is relatively small and the outcome depends on midwife assistance and patient cooperation, so results may not apply to all births. Any position change carries potential risks, such as discomfort or altered fetal heart rate patterns.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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230 people
The number who actually took part.
- Started
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Feb 2025
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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22 to 34 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Nulliparous women. * Age 22 to 34 years. * Singleton pregnancy. * Cephalic presentation confirmed by ultrasonography after 37 weeks of gestation. * Gestational age of 37 to 41 weeks. * Estimated fetal weight of 2,500 to 3,500 g. * No birth-canal abnormalities on vaginal examination. * Effective epidural labor analgesia during the first stage of labor. * Sufficient cognitive capacity to understand and cooperate with the study procedures. * Ability and willingness to provide written informed consent. Exclusion Criteria: * Organic heart, liver, or kidney disease. * Prenatal indication for cesarean delivery. * Pubic symphysis separation. * Lower-limb disease or impaired mobility. * Precipitous labor. * Second stage of labor lasting less than 30 minutes. * Severe mental illness. * Fetal malformation. * Withdrawal from the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Nanpu Branch of The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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