About this trial
This randomized clinical trial investigates whether and how maternal mobility during labor influences birth outcomes in primiparous women. The study compares standard obstetric care with care that includes a birth mobility system. The primary aim is to assess whether the system helps reduce secondary cesarean section rates. Secondary objectives include evaluation of labor progression, medication use, newborn health, and user satisfaction. Participation occurs during birth and includes the collection of routine clinical data and a short questionnaire afterward.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
German- or English-speaking
Able to provide written informed consent with capacity of judgment
Low-risk singleton pregnancy
Disqualifiers
Multiparous woman
Not capable of understanding instructions for use of the mobility system (intervention group)
Scheduled (elective) cesarean section
Contraindication to vaginal delivery
Trial design
Parallel
Treatments tested in this trial
Birth Mobility System
DeviceParticipants receive standard obstetric care and have access to a birth mobility system installed on the birthing bed. Use of the system is voluntary and guided by medical professionals. Participants view a video explaining the system's operation. Birth mobility data is collected passively.
Treatment groups
Trial outcomes
Primary outcomes
Rate of Secondary Cesarean Section
The proportion of women who undergo a cesarean section after the onset of labor (i.e. unplanned cesarean section).
Secondary outcomes
Mode of Delivery
Categorized as vaginal, vaginal-operative, or cesarean section, based on hospital documentation.
Duration of Labor
Measured separately for the first and second stages of labor in minutes.
Use of Epidural Anesthesia
Binary outcome (yes/no), recorded from medical records.
Use of Opioid Analgesia
Binary outcome (yes/no), recorded from hospital medication records.
Sponsors and contacts
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