Principal investigator Rabin Medical Center, affiliated to the Tel-Aviv University<\/p>\n
\u00a0<\/strong><\/p>\n OBJECTIVE<\/strong><\/p>\n Remote healthcare technology offers innovative solutions for patient care and education. This randomized controlled study evaluates the efficacy of pre-labor visual biofeedback, facilitated by self-operated home ultrasound devices, in improving maternal and neonatal outcomes.\u00a0<\/p>\n METHOD<\/strong><\/p>\n Nulliparous women at 37-39 weeks\u2019 gestation planning vaginal delivery will be randomized into three groups: (1) a single in-hospital prelabor maternal pushing training session using transperineal ultrasound visual biofeedback, followed by two weeks of biofeedback with a self-operated home ultrasound device; (2) a single in-hospital prelabor training session with ultrasound visual biofeedback; and (3) routine obstetrical ultrasound without biofeedback. RESULTS<\/strong><\/p>\n Sixty participants have been recruited, and enrollment is ongoing. All participants in the intervention group successfully performed effective home training. Preliminary feedback demonstrates positive experiences and increased empowerment.<\/p>\n COMMENTS<\/strong><\/p>\n This study demonstrates the potential of integrating remote healthcare technologies into prenatal care through self-operated ultrasound devices.\u00a0<\/p>\n CONCLUSIONS<\/strong><\/p>\n Prelabor-pushing training with self-operated ultrasound devices is feasible and promising for improving birth experiences and maternal mental health. Ongoing recruitment will provide further insights into its impact on maternal and neonatal outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":" Prelabor-pushing training with self-operated ultrasound devices is feasible and promising for improving birth experiences and maternal mental health. Ongoing recruitment will provide further insights into its impact on maternal and neonatal
The self-operated ultrasound device, connected to a smartphone, enables self-trans perineal visual biofeedback. Custom software was developed to record and review pushing practices. Sonographic analysis will include fetal biometry, fetal head position, and AoPs and HPDs during training.\u00a0
The primary outcome is the second-stage duration. Secondary outcomes include mode of delivery, maternal and neonatal adverse obstetrical outcomes. Psychological questionnaires will assess fear of childbirth, confidence, perceived control, satisfaction, post-traumatic stress symptoms, and maternal-infant bonding.<\/p>\n
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