Use of Decision Support in the Management of Labour

NCT ID: NCT02010710

Last Updated: 2018-10-15

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

NA

Total Enrollment

47062 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-06

Study Completion Date

2014-05-31

Brief Summary

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In women judged to require continuous electronic fetal heart rate monitoring (EFM) during their labour, does the addition of decision support software to aid the interpretation of the intrapartum cardiotocogram (CTG) reduce the number of 'poor neonatal outcomes'? This study is not introducing a new form of labour monitoring; it is evaluating the addition of decision-support to CTGs displayed on the Guardian™ system. Specifically comparing: "No decision-support" - CTGs with no additional interpretation (UK standard care), compared with: "Decision-support" - CTGs with the decision support software running that will alert clinicians to the presence of abnormalities in the CTG in real time. How the labour is managed is entirely up to the recruiting unit and the woman; however the allocation of decision-support or no decision-support is determined randomly by the Guardian™ system.

Detailed Description

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Conditions

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Fetal Intrauterine Distress First Noted During Labor and or Delivery in Liveborn Infant Team Based on Their Existing Guidelines and the Woman Consents to Have EFM and EFM is Possible

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Decison support

"Decision-support" - CTGs with the decision support software running that will alert clinicians to the presence of abnormalities in the CTG in real time.

Group Type EXPERIMENTAL

INFANT software

Intervention Type DEVICE

The decision-support software to be evaluated in INFANT has been designed to run on the K2 data collection system (Guardian®). The data collection system (Guardian®) is a system for managing information from labour monitoring. It displays the CTG on a computer screen alongside other clinical data which are collected as part of routine clinical care. As such, it replaces conventional paper labour notes, the CTG machine and other recording systems for documenting care during labour.

No Decision Support

"No decision-support" - CTGs with no additional interpretation (UK standard care),

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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INFANT software

The decision-support software to be evaluated in INFANT has been designed to run on the K2 data collection system (Guardian®). The data collection system (Guardian®) is a system for managing information from labour monitoring. It displays the CTG on a computer screen alongside other clinical data which are collected as part of routine clinical care. As such, it replaces conventional paper labour notes, the CTG machine and other recording systems for documenting care during labour.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Require continuous electronical fetal monitoring during labour

* they have a singleton or twin pregnancy
* they are ≥ 35 weeks' gestation (≥ 245 days)
* there is no known gross fetal abnormality, including any known fetal heart arrhythmia such as heart block
* they are 16 years of age or older
* they are able to give consent to participate in the trial as judged by the attending clinicians.

Exclusion Criteria

* • triplets or higher order pregnancy

* criteria for EFM not met, including elective caesarean section prior to the onset of labour
Minimum Eligible Age

16 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Oxford

OTHER

Sponsor Role collaborator

University of Birmingham

OTHER

Sponsor Role collaborator

University of Plymouth

OTHER

Sponsor Role collaborator

University of Leicester

OTHER

Sponsor Role collaborator

National Childbirth Trust

UNKNOWN

Sponsor Role collaborator

K2 Medical Systems

UNKNOWN

Sponsor Role collaborator

University College, London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Brocklehurst, Professor

Role: PRINCIPAL_INVESTIGATOR

University of Birmingham

Locations

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Rotunda

Dublin, , Ireland

Site Status

Lancashire Women's and Newborn Centre

Burnley, Lancs, United Kingdom

Site Status

Birmingham Women's Hospital

Birmingham, , United Kingdom

Site Status

Royal Bolton Hospital

Bolton, , United Kingdom

Site Status

University Hospitals Coventry & Warwick

Coventry, , United Kingdom

Site Status

Royal Derby Hospital

Derby, , United Kingdom

Site Status

Princess Royal

Glasgow, , United Kingdom

Site Status

Southern General

Glasgow, , United Kingdom

Site Status

Liverpool Women's Hospital

Liverpool, , United Kingdom

Site Status

Chelsea and Westminster Hospital

London, , United Kingdom

Site Status

Homerton University Hospital

London, , United Kingdom

Site Status

Northwick Park Hospital

London, , United Kingdom

Site Status

St Mary's Hospital

Manchester, , United Kingdom

Site Status

Nottingham City/Queens Medical Centre

Nottingham, , United Kingdom

Site Status

Derriford Hospital

Plymouth, , United Kingdom

Site Status

Queen Alexandra

Portsmouth, , United Kingdom

Site Status

Princess Anne

Southampton, , United Kingdom

Site Status

Stoke Mandeville Hospital

Stoke Mandeville, , United Kingdom

Site Status

University Hospital North Staffs

Stoke-on-Trent, , United Kingdom

Site Status

Warrington Hospital

Warrington, , United Kingdom

Site Status

Warwick Hospital

Warwick, , United Kingdom

Site Status

Countries

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Ireland United Kingdom

Related Links

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Other Identifiers

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06/38/01

Identifier Type: -

Identifier Source: org_study_id

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