Pregnancy Related Clinical Trial
Official title:
Feasibility Study Protocol of a Pragmatic, Randomised Controlled Pilot Trial: Membrane Sweeping to Prevent Post-term Pregnancy: The MILO Study
Multicentre, pragmatic, parallel group, pilot randomised controlled trial with an embedded factorial design.
The primary aim of the MILO study is to inform the optimal design of a future definitive
randomised trial to evaluate the effectiveness (including optimal timing and frequency) of
membrane sweeping to prevent post-term pregnancy. We will also assess the acceptability and
feasibility of the proposed trial interventions to clinicians and women (through focus group
interviews).
Methods/Design
Multicentre, pragmatic, parallel group, pilot randomised controlled trial with an embedded
factorial design. Pregnant women with a live, singleton fetus ≥ 38 weeks gestation, cephalic
presentation, longitudinal lie, intact membranes, English speaking and ≥18 years of age will
be randomised in a 2:1 ratio to:
• Membrane sweep versus no membrane sweep
Women allocated randomly to a sweep will then be randomised further (factorial component) to:
- early (from 39 weeks) versus late (from 40 weeks) sweep commencement; and
- a single verses weekly sweep
The proposed feasibility study consists of four work packages i.e., (1) a multicentre, pilot
randomised trial, 2) a health economic analysis and 3) a qualitative study (4) a study within
the host trial (a SWAT).
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