Educational Video, Anxiety, and Mode of Delivery After Previous Cesarean
NCT ID: NCT07338747
Last Updated: 2026-01-14
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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NOT_YET_RECRUITING
NA
90 participants
INTERVENTIONAL
2026-01-31
2027-12-31
Brief Summary
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Detailed Description
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This randomized interventional study aims to assess whether video-based patient education can reduce anxiety levels compared with standard verbal counseling. Eligible pregnant women planning delivery after a previous cesarean section will be randomly assigned to one of two study arms: video-based educational counseling or standard verbal counseling.
Anxiety will be measured using the validated State-Trait Anxiety Inventory (STAI) questionnaire after counseling. The results of this study may inform future strategies for patient counseling and shared decision-making in women considering TOLAC.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Experimental: Video-Based Patient Education
Participants receive structured video-based education regarding trial of labor after cesarean.
Video-Based Educational Intervention
A structured educational video providing information on benefits, risks, and expectations of trial of labor after cesarean.
Active Comparator: Standard Verbal Counseling
Participants receive standard verbal counseling regarding trial of labor after cesarean.
Standard Verbal Counseling
Routine verbal counseling provided by the treating clinician regarding trial of labor after cesarean.
Interventions
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Video-Based Educational Intervention
A structured educational video providing information on benefits, risks, and expectations of trial of labor after cesarean.
Standard Verbal Counseling
Routine verbal counseling provided by the treating clinician regarding trial of labor after cesarean.
Eligibility Criteria
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Inclusion Criteria
* History of one previous cesarean delivery with a low transverse uterine incision.
* Eligible for a trial of labor after cesarean (TOLAC) according to clinical assessment and Israeli national clinical guidelines.
* Age 18 years or older.
* Hebrew-speaking.
* Ability and willingness to provide written informed consent.
Exclusion Criteria
* History of uterine surgery other than one prior low transverse cesarean section that precludes vaginal delivery.
* History of two or more prior cesarean deliveries.
* Non-vertex fetal presentation or any presentation unsuitable for a trial of labor.
* Multiple gestation.
* Diagnosed severe anxiety disorder or other significant psychiatric disorder that may interfere with participation in the study or completion of questionnaires.
18 Years
FEMALE
No
Sponsors
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Wolfson Medical Center
OTHER_GOV
Responsible Party
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Principal Investigators
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Shir Lev, MD
Role: PRINCIPAL_INVESTIGATOR
Wolfson Medical Center
Central Contacts
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Other Identifiers
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WOMC-0175-25
Identifier Type: -
Identifier Source: org_study_id
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