Last reviewed · How we verify
NCT05881629
Early Diagnosis and Intervention for Fetal Malposition in Active Labor and Its Impact on Mode of Delivery
NA trial testing Maternal position change to side-lying lateral with peanut ball in Cesarean Delivery Affecting Fetus in 200 participants. Currently enrolling.
1 September 2026
Quick facts
| Lead sponsor | Women and Infants Hospital of Rhode Island |
|---|---|
| Phase | NA |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 200 |
| Start date | 1 May 2024 |
| Primary completion | 1 September 2026 |
| Estimated completion | 1 September 2026 |
| Sites | 1 location across United States |
Drugs / interventions tested
- Maternal position change to side-lying lateral with peanut ball
- Free maternal position
Conditions studied
- Cesarean Delivery Affecting Fetus — all drugs for Cesarean Delivery Affecting Fetus →
- Labor Dystocia — all drugs for Labor Dystocia →
- Labor Complication — all drugs for Labor Complication →
Sponsor
Women and Infants Hospital of Rhode Island
Who can join
18 and older, female only, with Cesarean Delivery Affecting Fetus or Labor Dystocia. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
The goal of this randomized trial is to test if changing a person's position in labor can increase the chances of delivering their baby vaginally. Specifically, it aims to answer the questions: * In fetuses who are facing upwards (occiput posterior, OP) or sideways (occiput transverse, OT) during labor, does changing the patient's position during active labor to a side-lying posture with a peanut ball increase the chances of them having a successful, spontaneous vaginal delivery? * Does changing the patient's position in active labor affect the position of the baby at the time of delivery? * Do intentional position changes in labor impact patient-perceived autonomy during their labor and delivery experience? Participants will: * Receive an ultrasound during labor to determine the position of their baby * Be asked to adopt a specific position in labor (side-lying with peanut ball) if they are randomized to the study group * Receive additional ultrasounds during labor to assess their baby's position * Fill out a questionnaire about their labor experience following the delivery of their baby
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
-
Rebozo and maternal postures to prevent persistent occiput posterior position of the fetal head: protocol for a randomised clinical trial 'the ReMaP-POPP RCT'.
Ornaghi S, Fumagalli S, Antolini L, Panzeri M, et al · · 2025 · PMID 41067764 · DOI 10.1136/bmjopen-2025-103520
Verify or expand the search:
- PubMed search for NCT05881629
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT05881629 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Women and Infants Hospital of Rhode Island
- Last refreshed: 11 September 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05881629.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing