Efficacy of advice from healthcare professionals to pregnant women on avoiding constrictive clothing around the trunk: a study protocol for a randomised controlled trial

IntroductionAs a component of midwife care, eliminating clothing that constricts the trunk has been shown to markedly elevate the uterine fundus, soften the uterus and abdomen, and reduce the abdominal wall tension in women admitted to hospital due to the risk of miscarriage or premature delivery. H...

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Bibliographic Details
Published in:BMJ open 2015-09, Vol.5 (9), p.e008252-e008252
Main Authors: Takehara, Kenji, Kato, Sachiko, Sasaki, Aiko, Jwa, Seung Chik, Kakee, Naoko, Sago, Haruhiko, Noguchi, Yuko, Aoki, Tomoko, Inoue, Eisuke, Nitta, Chieko, Ishii, Yumiko
Format: Article
Language:English
Subjects:
Abdomen
Adult
Childrens health
Clothing - adverse effects
Directive Counseling
Female
Health Behavior
Humans
Industrialized nations
Intervention
Japan - epidemiology
Medical records
Miscarriage
Nursing
Physiology
Pregnancy
Pregnancy Complications - prevention & control
Pregnant Women - psychology
Premature birth
Prenatal Care - methods
Prevention
Prospective Studies
Quality of life
Quality of Life - psychology
Studies
Tokyo - epidemiology
Womens health
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Summary:IntroductionAs a component of midwife care, eliminating clothing that constricts the trunk has been shown to markedly elevate the uterine fundus, soften the uterus and abdomen, and reduce the abdominal wall tension in women admitted to hospital due to the risk of miscarriage or premature delivery. However, no prospective study has conclusively verified the efficacy of avoiding constrictive clothes around the trunk in pregnant women. We aim to verify the efficacy of instructing pregnant women to wear loose clothing that does not constrict the trunk to reduce the risk of premature birth and improve quality of life (QoL) during pregnancy.Methods and analysisWe will conduct a randomised controlled trial of pregnant women scheduled to deliver at the National Center for Child Health and Development in Tokyo, Japan. A total of 616 pregnant women, from whom written informed consent will be obtained, will be allocated randomly to an intervention group or a control group. Women in the control group will be provided with anaemia prevention leaflets at 20 weeks’ gestation and skin-care leaflets at 30 weeks’ gestation. Women in the intervention group will be provided with the same leaflets and will also receive health advice from health professionals to avoid constrictive clothing around the trunk. The primary outcome will be a difference between these groups in the frequency of any one of the following category variables: (1) cervical length
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2015-008252