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Nifedipine Compared to Atosiban for Treating Preterm Labor

Phase 4
Completed
Conditions
Labor, Premature
Interventions
Registration Number
NCT00599898
Lead Sponsor
Raed Salim
Brief Summary

The purpose of this study is to investigate the efficacy and the safety of nifedipine compared to atosiban for treating preterm labor.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
145
Inclusion Criteria
  1. Gestational age between 24 to 34 weeks which had been documented by a definite LMP and sonography up to 20 weeks.

  2. All women fulfilled the criteria of preterm labor. The diagnosis of preterm labor required the presence of 4 uterine contractions or more over 30 minutes, each lasting at least 30 seconds, and documented cervical change. The cervical criteria were met when either of the following was present:

    1. Nulliparous women: a single cervical examination demonstrating dilatation of 0 cm to 4 cm and effacement of at least 50%
    2. Multiparous women: a single cervical examination demonstrating dilatation of 1 cm to 4 cm and effacement of at least 50%.
  3. Provision of written informed consent

Exclusion Criteria
  1. Chorioamnionitis

  2. Preterm rupture of membranes

  3. Vaginal bleeding

  4. Major fetal malformations

  5. Severe hypertensive disorders

  6. Intrauterine growth restriction (< 5th percentile).

  7. Non-reassuring fetal heart rate

  8. Maternal contraindications

    1. Chronic hypertension
    2. Systolic blood pressure < 90 mmHg
    3. Cardiovascular disease
    4. Elevated hepatic enzymes
  9. Congenital or acquired uterine malformation

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
1Atosiban-
2Nifedipine-
Primary Outcome Measures
NameTimeMethod
delaying laborfor more than 48 hours after starting treatment
Secondary Outcome Measures
NameTimeMethod
drugs side effectswithin the first 48 hours after treatment
obstetrical (number of days to delivery, gestational age at delivery, mode of delivery)within 24 hours after delivery
neonatal (Apgar score, sepsis, IVH, NEC, RDS, DEATH)within 30 days from delivery

Trial Locations

Locations (1)

HaEmek Medical Center

🇮🇱

Afula, Israel

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