Reducing primary and secondary cesarean delivery rates in women with a previous cesarean delivery using electrohysterography: randomized controlled trial
- Conditions
- Trial of labor after previous cesarean delivery
- Registration Number
- NL-OMON26343
- Lead Sponsor
- Máxima MC Veldhoven
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Suspended
- Sex
- Not specified
- Target Recruitment
- 100
Pregnant women aged 18 years or older with previous CD
- Singleton pregnancy
- 37 to 41 weeks of gestation
- Cephalic presentation
- Spontaneous onset of labor
All patients included for this study must provide informed consent.
- Estimated fetal weight >4000g
- Maternal age above 40 years
- Classical vertical or T- or J-incision of uterus
- Previous uterine rupture
- Cesarean delivery in previous 12 months
- Labor dystocia or failed induction as indication for previous cesarean delivery
- Placenta praevia, vasa praevia, fetus with relevant congenital malformation that can influence the delivery mode
- Primary infection of genital herpes simplex or active HIV
- Suspicion for abruptio placentae
- Dermatologic diseases, external or internal electrical stimulator and water birth.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Percentage of successful TOL will be the primary outcome measure in this study.
- Secondary Outcome Measures
Name Time Method Secondary outcome measures will be reason for secondary CD, percentage instrumental vaginal deliveries, oxytocin augmentation, complications during delivery (e.g. uterine ruptures), maternal blood loss, duration of first and second phase of labor, neonatal outcomes such as Apgar score <7 after 5 minutes, neonatal metabolic acidosis defined as pHa<7.05 and BD>12, admission to neonatal intensive care unit and perinatal mortality.