Effect of Oral N-Acetyl Cysteine on Pregnancy Outcome After Cervical Cerclage: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Assiut University
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Gestational age at delivery
Study Overview
Brief Summary
The aim of the study is to evaluate the effect of N-acetyl cysteine (NAC) on pregnancy outcome in women undergoing cervical cerclage for cervical insufficiency.
Detailed Description
A randomized controlled clinical trial to be carried out in a university-affiliated tertiary center.Participating women will be randomized into two groups: Group A will be given an oral daily dose of 0.6 g of NAC in effervescent form; group B, serving as controls, will not receive NAC.The two groups will then be compared according to pregnancy outcome.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 20 Years to 35 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •women with history suggestive of cervical insufficiency together with ultrasound findings suggestive of cervical insufficiency undergoing elective cervical cerclage between the 11th and 12th gestational week.
- •singelton viable fetus
Exclusion Criteria
- •women tested positive for bacterial vaginosis
- •women currently with threatened abortion (vaginal bleeding or uterinecramps)
- •age older than 35 years or younger than 20 years
- •unwillingness to participate
- •irregular and/or uncertain menstrual dates
- •rupture of membranes
- •previous cesarean delivery
- •possible risks for preterm birth in the current or previous pregnancy such as twin pregnancy, IUFD, malpresentation, known fetal anomaly, progesterone or heparin treatment during the current pregnancy, hypertension, and/or seizure disorders.
- •women with contra indications for cervical cerclage or anesthesia.
Arms & Interventions
1
N-Acetyl Cysteine
Intervention: N-Acetyl Cysteine (Drug)
2
placebo
Intervention: Placebo (Drug)
Outcomes
Primary Outcomes
Gestational age at delivery
Time Frame: 3-6 months
Secondary Outcomes
- Take home babies, neonatal morbidity(3-6 months)
