Activity Restriction for Women With Arrested Preterm Labor
NCT ID: NCT03501030
Last Updated: 2021-08-24
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
NA
120 participants
INTERVENTIONAL
2019-11-25
2021-10-01
Brief Summary
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Detailed Description
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Preterm labor (PTL) is the final pathway for about 50% of all PTB. Tocolytic agents are drugs that can slow or stop labor contractions in the attempt to delay births preceded by PTL. Primary tocolysis is defined as tocolysis given on initial presentation of women with PTL. In most of these women, PTL stops, but as their risk of PTB remains high, some have advocated use of maintenance tocolysis, i.e. tocolysis after arrested PTL. So far, no maintenance tocolytic agent has been shown to be beneficial in preventing PTB.
Some authors have also advocated the use of activity restriction in women with arrested PTL to reduce the risk of PTB. Activity restriction is defined as the following forms of activity restriction: pelvic rest and prohibition of sexual activity, reduction of work and/or non work activity. So far, the benefit of activity restriction in women with arrested PTL is still subject of debate and no Randomized Controlled Trial (RCT) has been undertaken.
Thus, the aim of this trial is to test the hypothesis that activity restriction in women with singleton gestations and with arrested PTL would reduce the rate of PTB.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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Activity restriction
Women in the intervention group will be recommended activity restriction. Activity restriction is defined as the following forms of activity restriction: pelvic rest and prohibition of sexual activity, reduction of work and/or non work activity. Bed rest will not recommended.
Activity restriction
Women in the intervention group will be recommended activity restriction. Activity restriction is defined as the following forms of activity restriction: pelvic rest and prohibition of sexual activity, reduction of work and/or non work activity. Bed rest will not recommended.
No activity restriction
Women in the control group will not receive any reccomandation regarding activity restriction. Bed rest and abstain from sexual intercourse will also not recommended.
No interventions assigned to this group
Interventions
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Activity restriction
Women in the intervention group will be recommended activity restriction. Activity restriction is defined as the following forms of activity restriction: pelvic rest and prohibition of sexual activity, reduction of work and/or non work activity. Bed rest will not recommended.
Eligibility Criteria
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Inclusion Criteria
* arrested PTL;
* TVU CL \< 25 mm;
* 18 years to 50 years.
Exclusion Criteria
* symptoms of PTL (not arrested PTL);
* TVU CL ≥ 25mm;
* premature rupture of amnion and chorion membranes (PROM) at the time of randomization;
* cerclage in situ at the time of randomization;
* pessary in situ at the time of randomization;
* vaginal bleeding at the time of randomization;
* women who are unconscious, severly ill, mentally handicapped;
* women under the age of 18 years or over the age of 50 years.
18 Years
50 Years
FEMALE
No
Sponsors
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Federico II University
OTHER
Responsible Party
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Gabriele Saccone
MD
Locations
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Giuseppe De Placido
Napoli, , Italy
Countries
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Facility Contacts
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References
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Saccone G, Della Corte L, Cuomo L, Reppuccia S, Murolo C, Napoli FD, Locci M, Bifulco G. Activity restriction for women with arrested preterm labor: a randomized controlled trial. Am J Obstet Gynecol MFM. 2023 Aug;5(8):100954. doi: 10.1016/j.ajogmf.2023.100954. Epub 2023 Apr 18.
Other Identifiers
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29/18
Identifier Type: -
Identifier Source: org_study_id
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