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Upright compared with supine positions for primiparous women in labour with epidural analgesia: a randomised controlled trial 2010-2014

Investigators: P, Brocklehurst, C, MacArthur,A, Shennan, D, Bick, M, Wilson, P,Moore, R, McCandlish, J, Guptar, D, Riegers, G, O’Sullivan, J, Sanders, M,Nolan, E Juszczak
Project Funding: NIHR HTA Programme.

A multi-centre randomised controlled trial with prospective economic evaluation will be undertaken at five maternity units in the UK. The sample will include nulliparous women in labour >/=37 weeks gestation diagnosed as being in the second stage of labour with mobile epidural analgesia and for whom the intention is to proceed to vaginal delivery. Upright maternal positions during the second stage of labour with the intention of continuing until the birth, will be compared with lying down positions. The primary trial outcome is spontaneous vaginal delivery (SVD).
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