Role of Intrapartum Ultrasound in Instrumental Delivery
Not Applicable
Terminated
- Conditions
- Obstetric Labor Complications
- Interventions
- Other: Transabdominal and transperineal ultrasound
- Registration Number
- NCT02899481
- Lead Sponsor
- University of Lisbon
- Brief Summary
Investigators will perform a multicentric randomized controlled trial comparing the effect of transabdominal and transperineal ultrasound in pregnant women in the second stage of labor, in whom it was decided an operative delivery. Our objective is to evaluate the impact of intrapartal ultrasound measurements, as an auxiliary to clinical evaluation, in the efficacy of an instrumental delivery.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- Female
- Target Recruitment
- 222
Inclusion Criteria
- pregnant women at term, in labor (≥ 37 weeks of gestation dated by a first trimester ultrasound
- live singleton pregnancy
- fetus in a cephalic presentation
- in the second stage of labor, after the decision to perform an instrumental delivery
Exclusion Criteria
- fetal malformations
- emergency situation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Study group Transabdominal and transperineal ultrasound The study group will be constituted by pregnant women in whom the operative delivery will be preceded by a transabdominal and transperineal ultrasound to evaluate fetal head position and fetal head station, by means of determination of the 'angle of progression'.
- Primary Outcome Measures
Name Time Method Maternal and neonatal morbidity 2 years Severe postpartum hemorrhage, perineal trauma, prolonged hospital stay
Neonatal morbidity 2 years low 5-minute Apgar score, umbilical artery metabolic acidosis, birth trauma and neonatal intensive care unit admission
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Centro Hospitalar Lisboa Norte - Hospital Santa Maria
🇵🇹Lisbon, Portugal