| CTRI Number |
CTRI/2025/07/091156 [Registered on: 18/07/2025] Trial Registered Prospectively |
| Last Modified On: |
01/08/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Antenatal exercise in pregnancy on Labor and Birth Outcomes |
|
Scientific Title of Study
|
Effectiveness of Antenatal Exercise on Labor and Birth Outcomes in Uncomplicated
Pregnancy |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Razowana Tasnim |
| Designation |
MPT Student |
| Affiliation |
Jashore University of Science & Technology |
| Address |
Room No: 301, Department of Physiotherapy and Rehabilitation, Jashore University of Science & Technology, Jashore 7408, Bangladesh
7408 Other |
| Phone |
01794811092 |
| Fax |
|
| Email |
razowanatasnim2018@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Razowana Tasnim |
| Designation |
MPT Student |
| Affiliation |
Jashore University of Science & Technology |
| Address |
Room No: 301, Department of Physiotherapy and Rehabilitation, Jashore University of Science & Technology, Jashore 7408, Bangladesh
7408 Other |
| Phone |
01794811092 |
| Fax |
|
| Email |
razowanatasnim2018@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Md.Feroz Kabir |
| Designation |
Assistant Professor |
| Affiliation |
Jashore University of Science & Technology |
| Address |
Room No: 304, Department of Physiotherapy and Rehabilitation, Jashore University of Science & Technology, Jashore 7408, Bangladesh
7408 Other |
| Phone |
01765932545 |
| Fax |
|
| Email |
feroz@just.edu.bd |
|
|
Source of Monetary or Material Support
|
| Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore 7408, Bangladesh |
| Dhaka College of Physiotherapy,House 1039,Road-14/A,Adabor Main Rd, Dhaka 1207, Bangladesh |
|
|
Primary Sponsor
|
| Name |
Dr. Ehsanur Rahman |
| Address |
Room No: 401,Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore 7408, Bangladesh |
| Type of Sponsor |
Other [University] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
Bangladesh |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Raju Ahmed |
BRB Hospitals Limited |
Room No: 201, Physiotherapy Center, 77/A Panthapath, Dhaka 1215
|
01718877376
rajuahmed.pt19@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| IRB of the Department of Physiotherapy and Rehabilitation JUST |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O631||Prolonged second stage (of labor), |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Routine antenatal care |
As per WHO and national guidelines |
| Intervention |
Structured antenatal exercise with routine antenatal care |
• Aerobic Exercise
• Strengthening Exercise
• Stretching exercise
• Pelvic floor exercise
• Breathing and relaxation exercises
Moderate intensity (Able to talk but not sing), 30-60 minutes each day At least 3-4 days per week, up to daily, as per patient tolerance and her own pace, from 28-30 weeks of pregnancy until labor |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Female |
| Details |
1. Both primigravida and Multigravida
2. Being in the 28th–30th week of pregnancy
3. Uncomplicated pregnancy (defined by the absence of both pre-existing medical co-morbidities (e.g. type 2 diabetes, essential hypertension) and pre-existing/early obstetric (e.g. multiple pregnancy) or new-onset obstetric (e.g., gestational diabetes, pre-eclampsia) complications.
|
|
| ExclusionCriteria |
| Details |
1. Women who are predetermined for cesarean section.
2. Unwilling to participate in antenatal exercise.
3. Individuals with contraindications to exercise according to ACOG guidelines
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
1. Duration of labor
2. Mode of delivery |
12 Weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. Gestational age at delivery
2. Bishop score
3. APGAR score
4. Neonatal birthweight |
12 weeks |
|
|
Target Sample Size
|
Total Sample Size="96" Sample Size from India="0"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
Date Missing |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
01/08/2025 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Applicable |
Publication Details
Modification(s)
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [razowanatasnim2018@gmail.com].
- For how long will this data be available start date provided 01-02-2026 and end date provided 01-01-2031?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
Brief Summary
Modification(s)
|
We will conduct a randomized clinical trial, consenting and randomizing 96 healthy pregnant women with singleton pregnancies between the 28th and 30th weeks and aged 18–35 years from a tertiary hospital. Women randomized to the intervention group will receive structured antenatal exercise supervised by a women’s health physiotherapist with routine antenatal care, while women randomized to the control group will receive routine antenatal care only. The primary outcome is mode of delivery and duration of labor, and the secondary outcomes will include gestational age at delivery, neonatal birthweight, Bishop score, and Apgar score. Analyses will be intention to treat with estimates reported as relative risks and 95% CIs.This will be included in the 1st paper in a series of two papers. A secondary analysis will be considered after six months follow up related to post partum complications such as pelvic floor muscle function, dysperunia,Urinary incontinence, diastasis rectus abdominis in the second paper in a series of two papers. |