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NCT ID: NCT06056869 Recruiting - Labor Clinical Trials

Effect of Hyoscine- Bromide on Duration of the First Stage of Labor

Start date: September 27, 2023
Phase: N/A
Study type: Interventional

Spasmolytic drugs are frequently used in delivery rooms to overcome cervical spasms and thus reduce the duration of labor. The aim of this randomized double blind placebo controlled trial is to study the efficacy of hyoscine butylbromide (HBB) for shortening of the first stage of labor in primigravid women.

NCT ID: NCT05873218 Recruiting - Labor Clinical Trials

Impact of Prophylactic Ephedrine on Fetal Heart Tracing and Uterine Tetanic Contraction After CSE

Start date: June 26, 2023
Phase: Phase 4
Study type: Interventional

Labor analgesia is an important component of the care of laboring patients. A known side effect of combined spinal and epidural anesthesia (a type of labor analgesia) is an increased incidence of category II fetal heart rate tracing (defined below) and low blood pressure. The study team aims to study if a prophylactic dose of ephedrine will decrease the occurrence of this type of tracing after combined spinal epidural (CSE) anesthesia placement. Ephedrine is not currently routinely used as prevention for category II tracings or low blood pressure. The use of Ephedrine in this study is investigational (this is the first time that the drug has been studied for its effect on these conditions). Fetal heart rate (FHR) tracings are classified into three categories. In clinical practice, FHR tracing categories are used as a guide to obstetric management and suggest the following approach: - Category I tracing is "reactive" and reassuring → may continue labor - Category II tracing is neither category I nor category III. For obvious reasons, category II is the broadest and largest category, consisting of various FHR tracing patterns that do not fit into either category I or category III. - Category III tracing is non-reassuring → expedited vaginal or cesarean delivery recommended. A Category II tracing is not diagnostic. Most pregnancies have at least one Category II tracing. There is not always an identifiable reason for a Category II tracing. Ephedrine is a medication that causes an increase in heart rate and blood pressure while also causing some degree of relaxation of the uterus therefore improving uterine blood flow. It has been used in the obstetric population for over 50 years without issues. The dose that the research team will administer, 7.5 mg, is below the dose the research team will often administer to treat hypotension (low blood pressure).

NCT ID: NCT02320279 Recruiting - Labor Clinical Trials

The Fetal EKG Study

Start date: October 2013
Phase:
Study type: Observational [Patient Registry]

The objective is to contribute data to ongoing research activities focused on identification of EKG waveform changes in the context of clinical conditions and maternal medication use. Additionally, to develop the capacity to measure contractions more accurately and more reliably using skin-surface electrodes.

NCT ID: NCT00827125 Recruiting - Pregnancy Clinical Trials

Determination of Labor Progression Patterns Using Non-invasive, Ultrasound Based, Multiple Parameters

Start date: March 2009
Phase: Phase 2
Study type: Interventional

The purpose of this study is to establish normograms of parameters measured by the LaborPro system. To test the prediction of these parameters on labor progress and mode of delivery.

NCT ID: NCT00695331 Recruiting - Labor Clinical Trials

Efficacy and Safety Study of Titrated Oral Misoprostol Solution for Labor Augmentation

Start date: February 2008
Phase: Phase 4
Study type: Interventional

The purpose of this study is to compare the efficacy and safety of titrated oral misoprostol solution with intravenous oxytocin for labor augmentation in women without adequate uterine contractions.