To judge if there is a difference between referral rates during labour when an amniotomy is performed in the latent phase of labour, compared to an expectant policy.
ID
Source
Brief title
Condition
- Maternal complications of labour and delivery
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Referral rate during labour
Secondary outcome
Rate of instrumental deliveries (including Ceasarean section)
duration of first stage of labour
duration of second stage of labour
Background summary
Midwives in the Netherlands are referring more and more labouring women to
secondary care, due to progress failure of the first stage. But the moment when
labour is not progressing normally anymore, is not well defined. As a reaction
on this, the Royal Dutch Organisation for Midwives (KNOV) produced a guideline:
"progress failure of the first stage". More or less at the same time a book
named: "Preventive Support of Labour" was published, written by the
obstetricians Reuwer en Bruinse. Recommendations in the book and the guideline
differ substantially from each other, specially in the timing of the moment of
performing an amniotomy. The effect of an indicated amniotomy in the latent
phase of labour is to our best knowledge not studied before.
Study objective
To judge if there is a difference between referral rates during labour when an
amniotomy is performed in the latent phase of labour, compared to an expectant
policy.
Study design
Randomized controlled trial (pilot)
Intervention
amniotomy
Study burden and risks
To our best known: none. (Both policies are being practiced, without evidence
of the benefits)
Dr Molewaterplein 40
3015 GD Rotterdam
Nederland
Dr Molewaterplein 40
3015 GD Rotterdam
Nederland
Listed location countries
Age
Inclusion criteria
nulliparae
term pregnancy
singleton
cephalic presentation
spontaneous labour, latent phase
intact membranes
Exclusion criteria
floating head
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL21547.078.08 |