The Establishment and Application of the New Labor Progress Centered System of Reducing Cesarean Section Rates in China
NCT ID: NCT02942719
Last Updated: 2016-10-24
Study Results
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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UNKNOWN
15000 participants
OBSERVATIONAL
2016-01-31
2018-12-31
Brief Summary
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2. Cesarean section rates: Based on big data, the investigator will introduce the international advanced Robson class method and identify the appropriate level of cesarean section rate for each type population.
3. Establishment of "Chinese maternal-fetal medical collaboration network" and APP to promote natural childbirth.
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Detailed Description
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2. Cesarean section rates: Based on big data, the investigator will introduce the international advanced Robson class method and identify the appropriate level of cesarean section rate for each type population.the investigator compare cesarean section rates of different level hospitals and evaluate the effects of reducing cesarean section rates. The investigator also analyze the risk factors of cesarean section rates of the ten Robson classification, which will provide basis for reducing cesarean section rates under the new strategy.
3. Establishment of "Chinese maternal-fetal medical collaboration network" and mobile application software (APP) to promote natural childbirth: The investigator establish perinatal data center using the hospital information system (HIS) system of hospital. The investigator predict the cesarean section rates and relative factors using the Robson classification method, and propose the new strategy of reducing cesarean section rates. Meanwhile, the investigator develop the quality management system toolkit which can help clinicians standardize behavior and improve obstetric safety.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Shanghai First Maternity and Infant Hospital
No interventions assigned to this group
Dalian Maternity and Child Health Hospital
No interventions assigned to this group
Beijing Obstetrics and Gynecology Hospital
No interventions assigned to this group
Shijiazhuang Obstetrics and Gynecology Hospital
No interventions assigned to this group
The Children and Women's Healthcare of Laiwu City
No interventions assigned to this group
Suzhou Municipal Hospital
No interventions assigned to this group
Wenling Women's and Children's Hospital
No interventions assigned to this group
First Affiliated Hospital of Kunming Medical University
No interventions assigned to this group
Changsha Hospital for Maternal and Child Health Care
No interventions assigned to this group
Xinxiang Maternity and Child Health Hospital
No interventions assigned to this group
Yanshi People's Hospital
No interventions assigned to this group
The Maternal and Child Health Hospital of Guangxi
No interventions assigned to this group
Northwest Women and Children's Hospital
No interventions assigned to this group
Suining Central Hospital
No interventions assigned to this group
Inner Mongolia Maternity and Child Health Hospital
No interventions assigned to this group
Fujian Province Maternity and Child Health Hospital
No interventions assigned to this group
Qinghai Red Cross Hospital
No interventions assigned to this group
Xinjiang Maternity and Child Health Hospital
No interventions assigned to this group
Jiangmen Maternity and Child Health Care Hospital
No interventions assigned to this group
Gansu Provincial Maternity and Child-care Hospital
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
2. singleton
3. head position
4. 37 weeks + 0 day - 41weeks + 6 days
5. primipara
6. low-risk pregnancy
7. vaginal delivery willingness
8. vaginal cervix \<7 cm after labor
Exclusion Criteria
2. non-head position
3. stillbirth
4. selective cesarean section
5. prenatal cesarean section
6. age \<18 years
7. previous childbirth history
8. pregnancy complications
9. important fetal malformations.
18 Years
FEMALE
Yes
Sponsors
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Shanghai First Maternity and Infant Hospital
OTHER
Responsible Party
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Principal Investigators
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Tao Duan, Ph.D
Role: PRINCIPAL_INVESTIGATOR
Shanghai First Maternal and Infant Health Hospital affiliated to Tongji University Medical School
Locations
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Shanghai First Maternity and Infant Hospital
Shanghai, Shanghai Municipality, China
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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FMIH Duan
Identifier Type: -
Identifier Source: org_study_id
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