We hypothesize that the percentage of successful TOL will increase with the use of EHG because EHG provides more accurate assessment of UA, allowing for better optimization of the contraction pattern during labor. Besides, more reliable monitoring…
ID
Bron
Verkorte titel
Aandoening
Trial of labor after previous cesarean delivery
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Percentage of successful TOL will be the primary outcome measure in this study.
Achtergrond van het onderzoek
We hypothesize that electrohysterography (EHG) will help to increase the rate of successful trial of labor after cesarean derlivery. Patients will be randomized to either uterine monitoring using tocodynamometry or electrohysterography during a trial of labor after previous cesarean delivery.
Doel van het onderzoek
We hypothesize that the percentage of successful TOL will increase with the use of EHG because EHG provides more accurate assessment of UA, allowing for better optimization of the contraction pattern during labor. Besides, more reliable monitoring will make doctors and patients feel safer during a TOL and therefore making a successful TOL more likely. We also hypothesize that EHG is more capable of detecting an uterine rupture in early stage than TOCO. EHG can show subtle changes in baseline, whereas for TOCO the baseline is not reliable at all.
Onderzoeksopzet
First inclusion 22-11-2017
Onderzoeksproduct en/of interventie
Electrohysterography as method of monitoring uterine activity during a trial of labor after previous cesarean delivery
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
- 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.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- 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.
Opzet
Deelname
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL8199 |
| Ander register | Ethical approval committee of Maternal and Child Hospital of Shijiazhunag (China) : 20171018 |