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临床试验/NCT04052347
NCT04052347终止不适用

Decision Aid to Assist Low-Risk Nulliparous Women Considering Induction of Labor At 39 Weeks: A Randomized Trial (DAWN Trial)

The University of Texas Health Science Center, Houston2 个研究点 分布在 1 个国家目标入组 2 人开始时间: 2019年11月25日最近更新:
适应症

试验速览

阶段
不适用
状态
终止
入组人数
2
试验地点
2
主要终点
Number of subjects who decided to undergo elective induction of labor at 39.0-39.6 weeks after utilization of a decision-aid

研究概览

简要总结

The primary objective is to assess if the utilization of a decision-aid increases the likelihood of low-risk nulliparous women undergoing elective induction of labor at 39.0-39.6 weeks

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
None

入排标准

年龄范围
18 Years 至 50 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • Low-risk nulliparous women- no previous pregnancy > 23 weeks
  • 18-50 years of age
  • Singleton gestation
  • Between 34.0 and 36.6 weeks at the time of screening. Randomization must occur between 37.0-37.6 weeks inclusive.

排除标准

  • First sonographic examination after 20 weeks
  • Women with any of the following comorbidities (at the time of randomization):
  • Autoimmune disorders (antiphospholipid antibody, lupus, rheumatoid arthritis, scleroderma)
  • Cerclage in the index pregnancy
  • Diabetes mellitus-gestational or pre-gestational
  • Hematologic disorders (coagulation defects, sickle cell disease, thrombocytopenia, thrombophilia)
  • Hypertension (chronic or pregnancy induced) before enrollment
  • HIV (human immunodeficiency virus)
  • Institutionalized individuals (prisoners)
  • Prior obstetric history of: 1) intrauterine growth restriction, 2) preterm birth before 34 weeks, 3) severe preeclampsia, eclampsia, HELLP syndrome, and 4) stillbirth after 24 weeks or neonatal death
  • Preterm labor or ruptured membranes before enrollment
  • Psychiatric disorder (bipolar, depression) on medication
  • Placenta previa / 3rd trimester bleeding
  • Renal insufficiency (serum creatinine > 1.5 mg/dL)
  • Restrictive lung disease
  • Fetal red blood cell isoimmunization
  • Seizure disorder on medication
  • Thyroid disease on medication
  • Body Mass Index (BMI) above 40 kg/m
  • Major fetal Anomaly including: anencephaly, spina bifida, bilateral renal agenesis, cystic hygroma with hydrops, diaphragmatic hernia, or congenital heart defects
  • Unable to understand consent in English or Spanish

结局指标

主要结局

Number of subjects who decided to undergo elective induction of labor at 39.0-39.6 weeks after utilization of a decision-aid

时间窗: 4 weeks

Number of subjects who decided to undergo elective induction of labor at 39.0-39.6 weeks after utilization of a decision-aid

次要结局

  • Maternal morbidities(1 week)
  • Composite neonatal morbidity(at delivery)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Sunbola S Ashimi Ademola

Senior Researcher

The University of Texas Health Science Center, Houston

研究点 (2)

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