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临床试验/NCT04342741
NCT04342741已完成不适用

A Comparison Between Inpatient and Outpatient Balloon Catheter Cervical Ripening: A Prospective Randomized Controlled Trial

National University of Malaysia2 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2017年8月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
60
试验地点
2
主要终点
Neonatal sepsis

研究概览

简要总结

A randomised controlled trial comparing cervical ripening using foley catheter as in- or outpatient setting.

详细描述

The study evaluated the efficacy and safety of outpatient versus inpatient Foley catheter cervical ripening and patients' satisfaction. Sixty low-risk women were randomized to outpatient and inpatient management of intracervical Foley catheter digital insertion. The outpatient group was provided with verbal and written 24-hours contact information and instructions. Both groups were reassessed the next morning unless labor had begun or the catheter had dropped off.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
None

入排标准

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

入选标准

  • singleton
  • gestational age beyond 37 weeks
  • cephalic presentation
  • intact membranes
  • Bishop score less than 6
  • lives within 10km from National University Malaysia Medical Centre or able to reach within 30 minutes
  • readily available transport

排除标准

  • intrauterine death
  • intrauterine fetal growth restriction
  • estimated fetal weight more than 4000gram
  • fetal anomalies
  • abnormal pre-induction cardiotocograph
  • non-vertex presentation
  • unstable lie
  • hypertension
  • allergy to latex
  • previous uterine scar
  • history of antepartum haemorrhage
  • parity of 6 and more
  • placenta praevia
  • suspected cephalopelvic disproportion

结局指标

主要结局

Neonatal sepsis

时间窗: From birth up to 30 days

Percentage of neonates with sepsis

Caesarean section rate

时间窗: From the time of recruitment until delivery

Percentage of Caesarean section

次要结局

  • Maternal age(At the time of recruitment)
  • Birth weight(At the time of delivery)
  • Arterial cord blood acidity or alkalinity(At the time of delivery)
  • Pre-pregnancy maternal body mass index(At the time of recruitment)
  • Indication(At the time of recruitment)
  • Duration of oxytocin use(At time of recruitment until delivery)
  • Intrapartum pyrexia(At the time of delivery)
  • Feeling alone during induction(At the time of recruitment until delivery)
  • Embarrassed by the method(At the time of recruitment until active phase of labour)
  • Gestation at recruitment(At the time of recruitment)
  • Bishop score pre-induction(Pre-intervention)
  • Augmentation with oxytocin(At time of recruitment until delivery)
  • Duration from induction until delivery(At time of recruitment until delivery)
  • Primary postpartum haemorrhage(Immediately at delivery up to 42 days)
  • Occupation(At the time of recruitment)
  • Parity(At the time of recruitment)
  • Duration from amniotomy until delivery(At time of recruitment until delivery)
  • Delivery within 24 hours(At time of recruitment until delivery)
  • Neonatal C-reactive protein(At the time of delivery)
  • Ability to cope with discomfort(At the time of recruitment until active phase of labour)
  • Duration of sleep(At the time of recruitment until delivery)
  • Feeling of unsafe during cervical ripening(At the time of recruitment until active phase of labour)
  • Ethnicity(At the time of recruitment)
  • Education level(At the time of recruitment)
  • Bishop score at second assessment(From insertion of Foley catheter until labour established or the following morning)
  • Discomfort with foley catheter(At the time of recruitment until active phase of labour)
  • Intention to use the method again(Through study completion until delivery)
  • Management at second assessment(At time of recruitment until delivery)
  • Duration from induction until favourable Bishop score(At time of recruitment until delivery)
  • Duration of inpatient stay(At time of recruitment until delivery)
  • Total blood loss(At the time of delivery)
  • Neonatal white cell count(At the time of delivery)
  • Able to rest and relax(At the time of recruitment until delivery)

研究者

发起方
National University of Malaysia
申办方类型
Other
责任方
Principal Investigator
主要研究者

Rahana Abd Rahman

Co-primary investigator

National University of Malaysia

研究点 (2)

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