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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COMPLETED
NA
347 participants
INTERVENTIONAL
2017-02-15
2021-05-31
Brief Summary
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The main idea is to define start of active labor earlier than the traditional "3-4 cm opening of the cervix and regular contractions" to be cervix \< 0.5 cm in length, and 1 cm opening and painful contractions. From this point, it is expected to be a progress of 1cm/hour opening of cervix. If not, progress is supported by amniotomy or stimulation of contractions.
This method is embraced by several clinics with great enthusiasm. However, there are no randomized controlled trials to prove that this method is better than others.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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proactive support of labor
delayed labor; 1 cm opening and painful contractions
Proactive support of labor
In case of delayed labor, active labor is defined at an earlier stage; labor support is given with 1 cm opening of the cervix and painful contractions. Labor support interventions are started then.
support of labor as usual
delayed labor; 3-4 cm opening of the cervix and regular contractions
support of labor as usual
In case of delayed labor, active labor start is defined as usual at 3-4 cm opening of the cervix and regular contractions. Labor support interventions are started then.
Interventions
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Proactive support of labor
In case of delayed labor, active labor is defined at an earlier stage; labor support is given with 1 cm opening of the cervix and painful contractions. Labor support interventions are started then.
support of labor as usual
In case of delayed labor, active labor start is defined as usual at 3-4 cm opening of the cervix and regular contractions. Labor support interventions are started then.
Eligibility Criteria
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Inclusion Criteria
* nulliparous
* term pregnancy
* cephalic presentation
Exclusion Criteria
* breech presentation
* given birth earlier
* known uterine anomaly
* insulin treated diabetes
* preeclampsia
* other serious medical conditions in mother or fetus
18 Years
45 Years
FEMALE
No
Sponsors
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St. Olavs Hospital
OTHER
Norwegian University of Science and Technology
OTHER
Responsible Party
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Principal Investigators
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Eszter Vanky, md prof
Role: PRINCIPAL_INVESTIGATOR
Norwegian University of Science and Technology
Locations
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St Olavs Hospital
Trondheim, , Norway
Countries
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References
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Brenne Fehn M, Dahlo R, Nielsen R, Laache I, Vanky E. Proactive versus standard support of labour in nulliparous women; study protocol for a randomized, controlled trial. Trials. 2020 Apr 23;21(1):358. doi: 10.1186/s13063-020-4191-9.
Other Identifiers
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2014/1788
Identifier Type: -
Identifier Source: org_study_id
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