Premature uterine contractions premature labor MedDRA version: 16.1 Level: LLT Classification code 10068718 Term: Premature uterine contractions System Organ Class: 100000004868 MedDRA version: 16.1 Level: LLT Classification code 10036599 Term: Premature labor System Organ Class: 100000004868
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: intact singleton pregnancy between 23+0 and 28+0 weeks gestation intact membranes cervical length = 15mm immediate previous completion of standard tocolysis with atosiban for 48 hours Able to communicate well with the investigator, to understand and comply with the requirements of the study Signed the written informed consent women over 18 years Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 60 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: rupture of membranes Amnion infection syndrome, fever (>38°C) vaginal bleeding with intensity of menstruation or above placenta praevia polyhydramnion congenital malformations, deformations and chromosomal abnormalities preexistant Diabetes Typ I or II multiple pregnancies Prolaps of membranes till the external cervical os.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the efficacy of long term tocolysis with atosiban on the pregency outcome. (Gestational age at delivery);Secondary Objective: Prolongation of pregnancy, time intervall til recurrant preterm labor, cervical length/shortening of the cervix, drop out rate ;Primary end point(s): Does a long term tocolysis with atosiban lead to a prolongation of pregancy? 1.)Time ( in days) until recurrence of preterm labor with effect on the cervical length during the study period. If 1 is significant: 2.) Time untill delivery during study period. ;Timepoint(s) of evaluation of this end point: recurrence of labor delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): gestational age at birth Time period (days) after long term tocolysis ( after the end of the study period) until birth time period (days) after routine tocolysis (48hrs) until birth. Time period (days) after the study period until recurrence of preterm labor with effect on the cervical length. need for another tocolysis cycle after the study period until SSW 33+6. Delivery before gestational age 28+0, 30+0, 33+6 Perinatal Mortality Perinatal Morbidity- Perinatal Morbidity composite index Side effects of the therapy (study period) ;Timepoint(s) of evaluation of this end point: recurrence of preterm labor and delivery | — |
Countries
Austria
Contacts
Medizinische Universität Wien, Abteilung für Geburtshilfe und Feto-maternale Medizin