Serial Membrane Sweeping at term in planned Vaginal Birth After Caesarea
Completed
- Conditions
- Planned vaginal birth after caesareanPregnancy and ChildbirthSingle spontaneous delivery
- Registration Number
- ISRCTN55163179
- Lead Sponsor
- niversity of Malaya (Malaysia)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Female
- Target Recruitment
- 211
Inclusion Criteria
Pregnant women with the following characteristics:
1. One previous transverse lower segment caesarean scar
2. Singleton pregnancy
3. Foetus in cephalic presentation
4. Intact membranes
5. Gestational age greater than 36 week
6. Agreed to a trial of vaginal birth
7. Passed physician screening for a trial of vaginal birth
Exclusion Criteria
Otherwise eligible women with the following are excluded:
1. Placenta praevia
2. Suspected foetal macrosomia
3. Suspected cephalopelvic disproportion
4. Abnormal foetal lie
5. Obstructive pelvic masses
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Spontaneous labour, defined as:<br>1. Regular painful contractions that had resulted in at least 3 cm of cervical dilation, or <br>2. Confirmed pre-labour rupture of membranes
- Secondary Outcome Measures
Name Time Method 1. Caesarean delivery<br>2. Formal labour induction<br>3. Recruitment to delivery interval<br>4. Gestational age at delivery<br>5. Number of membrane sweep or control sessions conducted<br>6. Bishop score at each session<br>7. Unscheduled hospitalisation<br>8. Significant antepartum haemorrhage<br>9. Prostaglandin and oxytocin use<br>10. Duration of hospitalisation at birth<br>11. Epidural analgesia<br>12. Neonatal outcomes of umbilical artery blood pH, Apgar score at 5 minutes and birth weight<br><br>All obtained by the time of discharge from hospital after birth, i.e., no later than 6 weeks after enrolment.