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Fetal Distress clinical trials

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NCT ID: NCT03370822 Completed - Fetal Distress Clinical Trials

A Mixed Methods Study to Explore the Feasibility of a Novel Continuous Fetal Monitoring Device

Start date: June 22, 2016
Phase:
Study type: Observational

A stillbirth describes when a baby dies after 24 weeks of pregnancy and before being born. In the UK there are roughly 9 stillbirths every day. Normally, before a stillbirth occurs changes such as a slower heart rate and reduced movement take place. Fetal monitoring attempts to detect these changes so that babies can be delivered before they become severely ill. If a baby could be monitored continuously then these changes could be detected earlier. However, current forms of fetal monitoring, such as ultrasound, cannot be used for long periods of time and do not significantly reduce stillbirth rates. The Monica AN24 device is a continuous monitor which records the baby's heart rhythm using sensors placed on the mother's abdomen. As this is a new device there is little evidence about how well it works. In this project women will be asked how they feel about the device after wearing it. Doctors and midwives will also be asked about their views of the device. The effect of the mother's movement and the age of the baby on how well the Monica AN24 can record the baby's heart rhythm will also be assessed.

NCT ID: NCT03159234 Completed - Fetal Distress Clinical Trials

Prediction of Fetal Lung Maturity

Start date: April 2016
Phase: N/A
Study type: Interventional

Diabetes is the most common medical complication of pregnancy in the united states four to five percent of pregnancies are complicated by diabetes. Pregestational diabetes (diabetes diagnosed before pregnancy, type 1 or type 2 diabetes mellitus) comprises approximately 13 percent of all diabetes in pregnancy, while gestational diabetes ( diabetes with onset or first recognition in pregnancy) comprises the remaining 87 percent . The prevalence of pregestational diabetes has been increasing due to the increasing prevalence of type 2 diabetes in women of reproductive age . The mainstay of the medical management of pregestational diabetes involves frequent monitoring of blood glucose levels with adjustment of diet and insulin therapy to achieve normoglycemia. Normoglycemia is important because maintenance of maternal blood glucose concentration at or near normoglycemic levels decreases the likelihood of adverse pregnancy outcomes, such as miscarriage , congenital anomalies , macrosomia and fetal death.

NCT ID: NCT03156608 Completed - Pregnancy Related Clinical Trials

Novii External Fetal Monitoring Device

Novii
Start date: March 6, 2017
Phase: N/A
Study type: Interventional

This study will be conducted on women in labor. Fetal heart rate monitoring will be conducting using the Novii Fetal ECG/EMG system and comparing it to current standard of care external fetal heart rate and tocometry. These approaches will be compared with the respect to need for additional monitoring, amount of nursing intervention, cost and satisfaction of patients and healthcare providers.

NCT ID: NCT03095937 Completed - Fetal Distress Clinical Trials

Evaluation of Fetal Cardiac Function in Rheumatic Heart Disease (RHD) Patients

RHD
Start date: September 1, 2016
Phase:
Study type: Observational

The goal of this study is to evaluate fetal myocardial performance in patients with heart diseases in comparison to normal pregnant patients.

NCT ID: NCT02862925 Completed - Stillbirth Clinical Trials

Introducing Fetal Scalp Stimulation as an Adjunct to Intermittent Auscultation in Low-Resource Settings.

Start date: October 1, 2016
Phase: N/A
Study type: Interventional

This study is a pilot study taking place in Moshi, Tanzania at the Kilimanjaro Christian Medical Centre (KCMC). The study aims to introduce fetal scalp stimulation into the intermittent auscultation protocols at KCMC, and to validate whether or not a handheld Doppler device can perform the fetal scalp stimulation test accurately.

NCT ID: NCT02221440 Completed - Fetal Distress Clinical Trials

Maternal Oxygen Administration for Fetal Distress

Start date: September 2014
Phase: N/A
Study type: Interventional

Supplementary oxygen is routinely administered to patients, even those with adequate oxygen saturations, in the belief that it increases oxygen delivery. However, oxygen delivery depends not just on arterial oxygen content but also on perfusion. Maternal oxygen administration has been used in an attempt to lessen fetal distress by increasing the available oxygen from the mother. However, the effect of supplemental maternal oxygen therapy on fetal acid base status has been debated for more than seven decades. Hypothesis: Prophylactic maternal low flow nasal oxygen administration during the second stage of labor can relieve fetal distress.

NCT ID: NCT01680484 Completed - Clinical trials for Nonreassuring Fetal Status

Bitter Chocolate or Orange Juice for Non-reactive Non-stress Test (NST) Patterns

Start date: February 2011
Phase: N/A
Study type: Interventional

There are multiple factors affecting the variability and acceleration pattern of fetal heart rate (FHR) pattern. However, fetal activity is considered as the main determinant. Any factor decreasing fetal activity causes a decrease in FHR variability. Fetal activity may be stimulated by manual manipulation, sound, light, change in maternal position and maternal ingestion of glucose. Among those, ingestion of any kind of food or juice is most frequently practiced in outpatient settings. This is not only medical but also a social routine. In this study the investigators have chosen the two most popular so-called 'fetal accelerators', chocolate and orange juice against no intervention and tried to find any usefulness of these on non-reactive NST patterns.

NCT ID: NCT01570335 Completed - Fetal Distress Clinical Trials

The SBAR Effect on Safety Attitudes in the Perinatal Department

Start date: April 2012
Phase: N/A
Study type: Observational

The aim of this study is to analyze the impact of SBAR by the SAQ questionnaire in the perinatal department.

NCT ID: NCT01042262 Completed - Oxidative Stress Clinical Trials

Maternal Oxygen Use During Delivery and Cord Blood Superoxide Dismutase

Start date: February 2007
Phase: N/A
Study type: Interventional

When exposed to oxygen immediately after birth, newborns suffer from an oxidative stress with a significant decrease in serum concentration of the anti-oxidant enzyme superoxide dismutase. This oxidative stress has been consequently linked to the development of adverse outcomes in both premature and full term infants. In this study, we examined the effect of oxygen administration to delivering mothers immediately before and during labor on the newborn. In this randomized trial, we planned to measure superoxide dismutase in the umbilical cord blood when mothers received and did not receive oxygen..

NCT ID: NCT00454012 Terminated - Fetal Distress Clinical Trials

Use of Intrapartum Biophysical Profile When Fetal Heart Rate Monitoring is Non-reassuring in Labor

Start date: April 2005
Phase: N/A
Study type: Interventional

In this research project the investigators want to figure out whether ultrasound (a non-invasive method) can be used to assess how the fetus is doing during labor.