2024-517675-20-00招募中3 期
Oxytocin versus Prostaglandins for labor Induction of women with an unfavorable Cervix after 24 hours of cervical ripening: a multicenter non inferiority randomized trial (OPIC)
Centre Hospitalier Regional Universitaire De Tours12 个研究点 分布在 1 个国家目标入组 1,494 人开始时间: 2024年12月10日最近更新:
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 入组人数
- 1,494
- 试验地点
- 12
- 主要终点
- Rate of caesarean delivery, whatever the indication of the caesarean delivery
研究概览
简要总结
To show that, among women with an unfavorable cervix after a first cervical ripening, induction of labor with oxytocin is not associated with an increased risk of caesarean delivery in comparison with repeating cervical ripening with prostaglandins.
研究设计
- 分配方式
- Randomized
- 主要目的
- Follow-up
- 盲法
- None
入排标准
- 年龄范围
- 18 years 至 64 years(18-64 Years)
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Pregnant woman
- •≥ 18 years old
- •With a singleton cephalic pregnancy
- •At a term ≥37+0 weeks of gestation
- •Gestational age estimated from the first trimester ultrasound (realized between 11+0 and 13+6 weeks of gestation)
- •With a medical indication of labor with a previous pharmacological or mechanical cervical ripening of 24 hours
- •Bishop score ≤ 6 at inclusion (unfavorable cervix)
- •Written informed consent
- •French health insurance policy holder
排除标准
- •Any measures of legal protection
- •Prior caesarean section or uterine scar
- •Contra-indications to a vaginal delivery
- •Foetus with suspected severe congenital abnormalities
- •Pathological foetal heart rate
- •Contra-indications to prostaglandins (ANGUSTA®, PROPESS®, PROSTINE®)
- •Contra-indications for using oxytocin
- •Woman in labor
结局指标
主要结局
Rate of caesarean delivery, whatever the indication of the caesarean delivery
Rate of caesarean delivery, whatever the indication of the caesarean delivery
次要结局
- Delivery within 12 hours
- Neonatal morbidity: death of the baby
- Time from intervention to delivery in hours
- Maternal satisfaction
- Need for induction with oxytocin (for women in the control group)
- Indication of caesarean in case of caesarean delivery
- Instrumental delivery
- Indication for the use of instruments in case of instrumental delivery
- Oxytocin augmentation
- Uterine hyperstimulation
- Suspicion of per-partum infection
- Post-partum haemorrhage
- Severe post-partum haemorrhage
- Anal sphincter injury
- Blood transfusion
- Need for antibiotics
- Length of hospital stay
- Cardiorespiratory arrest
- Damage to internal organs
- Hysterectomy for any complications resulting from birth
- Pulmonary embolus
- Stroke
- Admission to intensive care unit
- Maternal death
- Neonatal morbidity: birth trauma
- Neonatal morbidity: hypoxic ischaemic encephalopathy
- Neonatal morbidity: need for therapeutic hypothermia
- Neonatal morbidity: meconium aspiration syndrome
- Neonatal morbidity: need for respiratory support
- Neonatal morbidity: neonatal seizures
- Neonatal morbidity: neonatal acidosis
- Neonatal morbidity: Early neonatal infection
- Neonatal morbidity: Admission in an intensive care unit
- Proportion of incremental cost-effect pairs that lies into the non-inferiority area, for various values of economic non–inferiority margin, and for a constant clinical non-inferiority margin (7%).
研究者
Coordinating Investigator
Scientific
Centre Hospitalier Regional Universitaire De Tours
研究点 (12)
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