Effect of Vacuum on Fetal and Maternal Complications During Difficult Caesarean Section

NCT ID: NCT01665027

Last Updated: 2012-08-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Study Completion Date

2012-01-31

Brief Summary

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The Cesarean Section (C/S) rate from 1970 to 2007 in U.S is 31.8% and in Iran From 2000 to 2009 rose to 50-65%. This Surgical Procedure is not without risk. Difficult head Extraction in C/S occur in 1-2% of all deliveries. This study was designed to compare the results of delivery by vacuum in C/S with normal caesarean section.

Detailed Description

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Conditions

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Complications; Cesarean Section

Keywords

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caesarean section, vacuum, fetal head extraction, maternal complication, fetal complication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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vacuum

Vacuum is an instrument that is using for helping delivery when there is no possibility of spontaneous delivery. First report of using vacuum was in 1962 by Solomon for delivery of fetal head. He suggested that using this instrument will lower pressure on fetal head and decrease delivery time (and then decrease fetal hypoxemia). Also it decreases spreading of incision and vascular injury (during manual maneuvers).

Group Type EXPERIMENTAL

vacuum

Intervention Type PROCEDURE

Vacuum is an instrument that is using for helping delivery when there is no possibility of spontaneous delivery. First report of using vacuum was in 1962 by Solomon for delivery of fetal head (12). He suggested that using this instrument will lower pressure on fetal head and decrease delivery time (and then decrease fetal hypoxemia). Also it decreases spreading of incision and vascular injury (during manual maneuvers). Some studies confirmed these results (13, 14) and some others disagreed it (15, 16).

Considering with importance of fetal head delivery in a short time during C/S and to decrease maternal complications like lacerations and vascular injuries, this study was designed to compare the results of delivery by vacuum in C/S with routine methods for head extraction during difficult caesarean sections.

routine manual maneuvers for fetal head extraction

Procedure/Surgery:

fetal head techniques like fundal pushing, pulling technique or reverse breech extraction

Group Type EXPERIMENTAL

routine manual maneuvers for fetal head extraction

Intervention Type PROCEDURE

fetal head techniques like fundal pushing, pulling technique or reverse breech extraction

Interventions

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vacuum

Vacuum is an instrument that is using for helping delivery when there is no possibility of spontaneous delivery. First report of using vacuum was in 1962 by Solomon for delivery of fetal head (12). He suggested that using this instrument will lower pressure on fetal head and decrease delivery time (and then decrease fetal hypoxemia). Also it decreases spreading of incision and vascular injury (during manual maneuvers). Some studies confirmed these results (13, 14) and some others disagreed it (15, 16).

Considering with importance of fetal head delivery in a short time during C/S and to decrease maternal complications like lacerations and vascular injuries, this study was designed to compare the results of delivery by vacuum in C/S with routine methods for head extraction during difficult caesarean sections.

Intervention Type PROCEDURE

routine manual maneuvers for fetal head extraction

fetal head techniques like fundal pushing, pulling technique or reverse breech extraction

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* term pregnant women with cephalic presentation and singleton gestation that had difficult labor and difficult head extraction during caesarean.

Exclusion Criteria

* Elective cesarean
Minimum Eligible Age

15 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Behnam Baghianimoghadam

OTHER

Sponsor Role lead

Responsible Party

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Behnam Baghianimoghadam

shahid sadoughi university of medical sciences and health services, Yazd, Iran

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Shahid sadoughi University of medical sciences

Yazd, Yazd Province, Iran

Site Status

Countries

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Iran

Other Identifiers

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SSU-389049

Identifier Type: -

Identifier Source: org_study_id