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Development of a Multidimensional Predictive Model of Dystocic Labor. Association of Physical Condition and Psychosocial Factors With the Birth Process and Breastfeeding Success.

Development of a Multidimensional Predictive Model of Dystocic Labor. Association of Physical Condition and Psychosocial Factors With the Birth Process and Breastfeeding Success.

Recruiting
18 years and older
Female
Phase N/A

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Overview

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

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

Study details
    Labor and Childbirth
    Labor (Obstetrics)--Complications
    Hand Strength
    Physical Conditioning
    Human
    Tocophobia
    Self Efficacy
    Breastfeeding

NCT07635771

Institut Investigacio Sanitaria Pere Virgili

27 June 2026

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