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Frequency of Glucose Monitoring in Labor

Not Applicable
Recruiting
Conditions
Neonatal Hypoglycemia
Interventions
Other: Fingerstick
Registration Number
NCT06373432
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Brief Summary

The aim of this study is to assess rates of neonatal hypoglycemia with differing intrapartum glucose protocols. Currently at this time there is no guidance from professional medical organizations about when and how frequent to assess maternal glucose levels intrapartum. Several institutions have no protocols in place. The study will be a randomized controlled trial placing patients with Gestational Diabetes Mellitus (GDM) in "frequent" vs "infrequent" glucose monitoring intrapartum and assessing neonatal glucose levels at birth.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
300
Inclusion Criteria
  • All female patients of reproductive age who have the diagnosis GDM
  • Patient with singleton gestation presenting in labor or for induction
Exclusion Criteria
  • Patients below the age of 18
  • Multiple gestation pregnancy
  • Patients undergoing scheduled c-section

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Infrequent testingFingerstickFinger sticks every 4 hours in latent labor (less than 5cm cervical dilation) and every 2 hours in active labor (6cm and greater)
Frequent testingFingerstickFinger sticks every 2 hours in latent labor (less than 5cm cervical dilation) and every 1 hours in active labor (6cm and greater)
Primary Outcome Measures
NameTimeMethod
Neonatal Hypoglycemiaend of study at 6 months

Glucose values of neonate measured in mg/dL

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Mount Sinai West Hospital

🇺🇸

New york, New York, United States

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