Labor Long Clinical Trial
Official title:
Ultrasound Imaging Biofeedback for Shortening the Second Stage of Labor: a Randomized Prospective Study
Verified date | November 2022 |
Source | Assuta Ashdod Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to examine whether transperineal ultrasound as visual biofeedback can be used during labor as an effective tool for shortening the second stage of labor and reducing the need for instrumental delivery, in a prospective randomized design.
Status | Completed |
Enrollment | 100 |
Est. completion date | November 25, 2022 |
Est. primary completion date | November 19, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 45 Years |
Eligibility | Inclusion Criteria: 1. First labor 2. Full dilation 3. Head position between SP-1 and SP+2. 4. Epidural anesthesia 5. No contraindication for vaginal delivery 6. Parturient informed consent Exclusion Criteria: 1. Participation in parallel studies. 2. Category III fetal monitoring requiring immediate delivery. |
Country | Name | City | State |
---|---|---|---|
Israel | Assuta Ashdod Hospital | Ashdod |
Lead Sponsor | Collaborator |
---|---|
Assuta Ashdod Hospital |
Israel,
Diegmann EK, Andrews CM, Niemczura CA. The length of the second stage of labor in uncomplicated, nulliparous African American and Puerto Rican women. J Midwifery Womens Health. 2000 Jan-Feb;45(1):67-71. doi: 10.1016/s1526-9523(99)00019-7. — View Citation
Gilboa Y, Frenkel TI, Schlesinger Y, Rousseau S, Hamiel D, Achiron R, Perlman S. Visual biofeedback using transperineal ultrasound in second stage of labor. Ultrasound Obstet Gynecol. 2018 Jul;52(1):91-96. doi: 10.1002/uog.18962. Epub 2018 May 29. — View Citation
Kalache KD, Duckelmann AM, Michaelis SA, Lange J, Cichon G, Dudenhausen JW. Transperineal ultrasound imaging in prolonged second stage of labor with occipitoanterior presenting fetuses: how well does the 'angle of progression' predict the mode of delivery? Ultrasound Obstet Gynecol. 2009 Mar;33(3):326-30. doi: 10.1002/uog.6294. — View Citation
Levy R, Zaks S, Ben-Arie A, Perlman S, Hagay Z, Vaisbuch E. Can angle of progression in pregnant women before onset of labor predict mode of delivery? Ultrasound Obstet Gynecol. 2012 Sep;40(3):332-7. doi: 10.1002/uog.11195. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Duration of the second stage of labor | Minutes from first documentation of full dilatation to delivery. | Up to 6 hours | |
Secondary | Mode of delivery | Mode of delivery (categorical): spontaneous vaginal, operative vaginal or cesarean | Up to 6 hours | |
Secondary | Neonatal 1 minute Apgar score | Apgar score at 1 minute after delivery (scale of 0-10) | Up to 6 hours | |
Secondary | Neonatal 5 minute Apgar score | Apgar score at 5 minute after delivery (scale of 0-10) | Up to 6 hours | |
Secondary | Cord pH | Umbilical cord blood pH | Up to 6 hours | |
Secondary | Postpartum hemorrhage | Rate of early postpartum hemorrhage (during first 24 hours) | Up to 24 hours | |
Secondary | Maternal perineal tears | Maternal perineal tear grade (categorical): None and grades 1-4 | Up to 6 hours |
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