Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • harvard-cite-them-right
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Room 4 Birth - The effect of an adaptable birthing room on labour andbirth outcomes for nulliparous women at term with spontaneous labour start: study protocol for a randomised controlled superiority trial in Sweden
Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University.
Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University.
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.ORCID-id: 0000-0002-3195-5702
Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University.
Visa övriga samt affilieringar
2019 (Engelska)Ingår i: TrialsArtikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background

An important prerequisite for optimal healthcare is a secure, safe and comfortable environment. There is little research on how the physical design of birthing rooms affects labour, birth, childbirth experiences and birthing costs. This protocol outlines the design of a randomised controlled superiority trial (RCT) measuring and comparing effects and experiences of two types of birthing rooms, conducted in one labour ward in Sweden.

Methods/design

Following ethics approval, a study design was developed and tested for feasibility in a pilot study, which led to some important improvements for conducting the study. The main RCT started January 2019 and includes nulliparous women presenting to the labour ward in active, spontaneous labour and who understand either Swedish, Arabic, Somali or English. Those who consent are randomised on a 1:1 ratio to receive care either in a regular room (control group) or in a newly built birthing room designed with a person-centred approach and physical aspects (such as light, silencer, media installation offering programmed nature scenes with sound, bathtub, birth support tools) that are changeable according to a woman’s wishes (intervention group). The primary efficacy endpoint is a composite score of four outcomes: no use of oxytocin for augmentation of labour; spontaneous vaginal births (i.e. no vaginal instrumental birth or caesarean section); normal postpartum blood loss (i.e. bleeding < 1000 ml); and a positive overall childbirth experience (7–10 on a scale of 1–10). To detect a difference in the composite score of 8% between the groups we need 1274 study participants (power of 80% with significance level 0.05). Secondary outcomes include: the four variables in the primary outcome; other physical outcomes of labour and birth; women’s self-reported experiences (the birthing room, childbirth, fear of childbirth, health-related quality of life); and measurement of costs in relation to the hospital stay for mother and neonate. Additionally, an ethnographic study with participant observations will be conducted in both types of birthing rooms.

Discussion

The findings aim to guide the design of birthing rooms that contribute to optimal quality of hospital-based maternity care.

Ort, förlag, år, upplaga, sidor
2019.
Nationell ämneskategori
Medicin och hälsovetenskap
Forskningsämne
Människan i vården
Identifikatorer
URN: urn:nbn:se:hb:diva-22321DOI: 10.1186/s13063-019-3765-xISI: 000504430900001PubMedID: 31744523Scopus ID: 2-s2.0-85075285529OAI: oai:DiVA.org:hb-22321DiVA, id: diva2:1381441
Tillgänglig från: 2019-12-20 Skapad: 2019-12-20 Senast uppdaterad: 2020-01-10Bibliografiskt granskad

Open Access i DiVA

fulltext(1038 kB)4 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 1038 kBChecksumma SHA-512
056dc4bf58c05b20b994686787efd3642aa5e1fecec3175dc1fc4e4d3c5dab0675793664823d4105b2865876cbd0a0acfb10794fb390edbe0f797de0b63a267c
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMedScopus

Personposter BETA

Nilsson, Christina

Sök vidare i DiVA

Av författaren/redaktören
Nilsson, Christina
Av organisationen
Akademin för vård, arbetsliv och välfärd
Medicin och hälsovetenskap

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 4 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 2 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • harvard-cite-them-right
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf