McRoberts Manoeuvre Or Pushing Study (McMOPS)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00116246
Recruitment Status : Unknown
Verified August 2005 by University of Melbourne.
Recruitment status was:  Recruiting
First Posted : June 28, 2005
Last Update Posted : September 8, 2006
Information provided by:
University of Melbourne

Brief Summary:
We propose to conduct a randomised-controlled study to investigate whether adopting McRoberts’ position, after 45 minutes of active pushing with no signs of progress, can increase the probability of vaginal delivery, preventing the need for forceps or vacuum assistance. In our study we will allow 45 minutes of pushing before a further 45 minutes of either the same, or our intervention (McRoberts’ manoeuvre).

Condition or disease Intervention/treatment Phase
Childbirth Procedure: McRobert's manoeuvre Phase 1

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 222 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single
Primary Purpose: Treatment
Study Start Date : August 2005
Estimated Study Completion Date : December 2006

Primary Outcome Measures :
  1. Operative delivery rate
  2. Patient satisfaction with treatment

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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Nulliparous women in labour after 37 completed weeks gestation who have been pushing for 45 minutes in the second stage of labour with no progress (defined as no presenting part visible on pushing, without parting the labia)
  • Singleton pregnancy
  • Cephalic presentation
  • Clinical scenarios in which we propose to still include in the study: *Spontaneous or induced labour; *Regional anaesthesia; *Clinical suspicion of large baby, but was considered suitable for trial of labour

Exclusion Criteria:

  • Maternal weight >100kgs
  • Non-reassuring fetal condition
  • Patient being unable to tolerate McRobert’s position
  • Non-English speaking woman
  • Woman unable to give adequate consent, or suspicion that the antenatal information sheet has not been fully understood
  • Multiparous women
  • Complicated obstetric co-morbidities, including: *Preterm labour (less than 37 completed weeks gestation); *Multiple pregnancy; *Abnormal presentation; *Placenta praevia or abruption; *Non-reassuring fetal status Maternal pathology restricting maternal adoption of McRoberts’ position (e.g. back problems)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00116246

Contact: Sheila F Mulvey, PhD,MB 61-3 84584381

Australia, Victoria
Mercy Hospital for Women Recruiting
Melbourne, Victoria, Australia, 3084
Contact: Sheila F Mulvey, PhD,MB    61-3-84584381   
Principal Investigator: Sheila F Mulvey, PhD,MB         
Sponsors and Collaborators
University of Melbourne
Principal Investigator: Sheila F Mulvey, PhD,MB University of Melbourne,Dept of Obstetrics & Gynaecology