Role of the Intrapartum Grobman Nomogram in the Indication of Attempted Vaginal Delivery After Cesarean Section

Not yet recruiting

• Conditions: Vaginal Delivery
• Interventions: Other: data collection

• Registration Number: NCT06202768
• Lead Sponsor: Central Hospital, Nancy, France

Brief Summary

The rate of pregnant patients with a history of cesarean section is increasing. Caesarean section is a surgery which is not without risk and in particular concerning the risk of uterine rupture and malplacentation during a new pregnancy.

Considering the outcome of a new birth following a cesarean section is not easy. There is no reliable score to predict the success rate of vaginal delivery with a history of scarred uterus. The aim of our study would be to validate the intrapartum Grobman nomogram within the population of the Nancy University Hospital and thus to target the population for whom vaginal delivery could be offered.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-01-01
• Study First Submitted QC: 2024-01-01
• Study First Posted: 2024-01-12
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-16
• Last Update Posted: 2024-04-17
• Study Start: 2024-05-01
• Primary Completion: 2024-05-01
• Study Completion: 2024-06

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: Female
• Target Recruitment: 800

Inclusion Criteria

• Vertex singleton pregnancy
• Full-term delivery (beyond 37 weeks)
• A history of cesarean section (segmental transverse scar)

Exclusion Criteria

• Fetal death in utero

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Main population	data collection	History of cesarean section Vertex singleton gestation At term (at least 37 weeks of gestation)

Primary Outcome Measures

Name	Time	Method
Modified Grobman score	per-partum, 9 months	calculate Grobman score according to different criteria. If the score is high, the probability of vaginal delivery is high. This a score which calculates probability of vaginal delivery thanks to 11 parameters (maternal âge, BMI, previous vaginal delivery before and after ceasection, recurring indication, gestational age, hypertensive disease of pregnancy, effacement, dilatation, foetal station, labor induction)

Trial Locations

Locations (1)

Maternity; 🇫🇷 Nancy, France