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Amniotomy for induction of labour a terme in midwife-led care in the Netherlands

Conditions
Amniotomy, induction of labour, induction midwife-led care Netherlands, amniotomie, AROM, inleiding van de baring, amniotomie in de eerstelijn
Registration Number
NL-OMON27400
Lead Sponsor
Department of Gynaecology and Obstetrics Zuyderland MC
Brief Summary

ot applicable

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
100
Inclusion Criteria

midwife is head-practitioner

- multiparaous

Exclusion Criteria

- maternal age < 18 year

- language barrier

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Effectiveness of amniotomy in primary care measured by<br><br /><br /><br>- the number of applied amniotomies in primary care<br /><br>- the number of patients with regular contractions within 4 hours after amniotomy<br /><br>- the number of transfer of care to secondary care after amniotomy in primary care<br /><br>- the number of midwife led deliveries in primary care<br>
Secondary Outcome Measures
NameTimeMethod
Maternal and neonatal outcomes:<br /><br>- amniotomy to regular contractions interval (h)<br /><br>- delivery < 12 h after amniotomy<br /><br>- amniotomy to delivery interval (h)<br /><br>- rupture of membranes > 24 h<br /><br>- mode of delivery<br /><br>- oxytocin use during delivery/induction<br /><br>- epidural or remifentanil during labour<br /><br>- maternal antibiotics use<br /><br>- maternal blood loss<br /><br>- perineum (rupture/episiotomy)<br /><br>- birth weight (kg)<br /><br>- apgarscore<br /><br>- neonatal hospital admission suspect of neonatal infect<br><br /><br /><br>Patient satisfaction:<br /><br>- intervention<br /><br>- care provider<br /><br>- delivery<br><br>
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