Nuchal Cord Detection in Sonographic Evaluation by a First Year Resident.

Fetal Cord Entanglement Clinical Trial

Official title:

The Efficiency in Nuchal Cord Detection in Sonographic Evaluation as Performed by an Unexperienced First Year Resident With Minimal Training.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03100929
• Other study ID #: 0405-16-RMB
• Status: Completed
• Phase: N/A
• Start date: July 10, 2017
• Est. completion date: December 31, 2020

Study information

• Verified date: January 2021
• Source: Rambam Health Care Campus
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The investigators aim to prove that minimal sonographic training for nuchal cord detection in an unexperienced first year medical resident is more than enough to detect the phenomenon. Patients undergoing elective cesarean section will undergo a routine ultrasound (that is performed to detect the fetal heart rate and the fetal presentation) during which the resident will attempt to detect nuchal cord. The resident will then attend the patient's surgery to verify the findings.

Description:

Patients undergoing elective cesarean section will undergo a routine ultrasound examination during which fetal heart rate, fetal presentation and nuchal cord presence will be documented. During surgery, after the fetus is delivered, presence or lack of nuchal cord will be documented.

The aim of the study is to show that minimal sonographic training may assist even an unexperienced sonographist in detection of such a subtle yet important phenomenon.

The study will be performed utilizing the newest resident in the OBGYN department.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: December 31, 2020
• Est. primary completion date: September 30, 2020
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 44 Years

Eligibility

Inclusion Criteria:

• Any woman undergoing elective cesarean section.

Exclusion Criteria:

• None.

Related Conditions & MeSH terms

• Fetal Cord Entanglement

Intervention

Diagnostic Test:
• Ultrasound
Pre-operational ultrasound for the detection of fetal heart rate, fetal presentation and presence of nuchal cord.

Locations

Country	Name	City	State
Israel	Rambam health care campus	Haifa

Sponsors (1)

Lead Sponsor	Collaborator
Rambam Health Care Campus

Country where clinical trial is conducted

Israel, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Detection rate for nuchal cord.	Detection of nuchal cord in a pre-op ultrasound and verification of the sonographic findings during surgery.	up to 6 hours from admission for elective surgery.