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A study of position during the late stages of labour in women with an epidural - the BUMPES study
ISRCTN ISRCTN35706297
ClinicalTrials.gov identifier
Public title A study of position during the late stages of labour in women with an epidural - the BUMPES study
Scientific title A study of position during the late stages of labour in women with an epidural - BUMPES: a randomised controlled trial
Acronym BUMPES
Serial number at source HTA 08/22/02; Version 1
Study hypothesis In nulliparous women who chose mobile epidural anaesthesia, does a policy of adopting an 'upright position' throughout the second stage of labour cause an increase in the incidence of spontaneous vaginal delivery (SVD) compared with a policy of adopting a 'lying-down' position.
Lay summary
Ethics approval To be submitted before the end of September 2009 (as of 19/08/2009)
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Labour/ birthing position
Participants - inclusion criteria Women who are:
1. Nulliparous
2. Single cephalic presentation
3. Greater than or equal to 37 weeks gestation
4. Intend spontaneous vaginal birth
5. In second stage of labour
6. With an effective mobile epidural in situ
Participants - exclusion criteria Unable to understand written and spoken English language
Anticipated start date 01/04/2010
Anticipated end date 30/04/2015
Status of trial Ongoing
Patient information material
Target number of participants 3,000
Interventions 'Upright position' vs 'lying-down' position throughout the second stage of labour.

Women allocated to an 'upright position' would aim to be in positions where their pelvis is in as vertical a plane as possible during the second stage of labour.

Women allocated to a 'lying-down position' would aim to be in positions where their pelvis is in as horizontal a plane as possible during the second stage of labour.
Primary outcome measure(s) Incidence of spontaneous vaginal delivery (SVD)
Secondary outcome measure(s) 1. Mode of delivery
2. Outcomes from randomisation until delivery
3. Immediate post delivery outcomes
4. Postnatal period for both mother and infant
5. 1 year outcomes for both mother and infant
Sources of funding NIHR Health Technology Assessment Programme - HTA (UK)
Trial website
Publications
Contact name Prof  Peter  Brocklehurst
  Address National Perinatal Epidemiology Unit
University of Oxford
Old Road Campus
Headington
  City/town Oxford
  Zip/Postcode OX3 7LF
  Country United Kingdom
  Tel +44 (0)1865 289700
  Fax +44 (0)1865 289701
  Email peter.brocklehurst@npeu.ox.ac.uk
Sponsor University of Oxford (UK)
  Address Clinical Trials and Research Governance
Manor House
John Radcliffe Hospital
Headley Way
  City/town Oxford
  Zip/Postcode OX3 9DZ
  Country United Kingdom
  Tel +44 (0)1865 222757
  Fax +44 (0)1865 743002
  Email heather.house@admin.ox.ac.uk
  Sponsor website: http://www.admin.ox.ac.uk/rso/clinical/
Date applied 19/08/2009
Last edited 26/08/2009
Date ISRCTN assigned 26/08/2009
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