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临床试验/2024-517675-20-00
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

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

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Coordinating Investigator

Scientific

Centre Hospitalier Regional Universitaire De Tours

研究点 (12)

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