Recurrent Miscarriage
Conditions
Brief summary
There is increasing amount of evidence which suggests that miscarriage is related to a primary endometrial problem. Recent cochrane meta-analysis (March 2015) has proven that endometrial scratch improves live birth in women who underwent IVF. The aim of the study is to find out if scratch of the endometrium prevents recurrent miscarriage.
Detailed description
The Warwick BRU-RH (Biomedical Research Unit- Reproductive Health) hypothesis is that failed pregnancies are the result of failed decidualisation of the endometrium.
Interventions
OTHEREndometrial scratch
If patient randomised to intervention arm, will have speculum examination followed by endometrial scratch with a wallace catheter
OTHERTouching the cervix
If patient is randomised to the control arm, she will have speculum examination followed by cleaning of the cervix with a cotton tip dipped in saline
Sponsors
University of Warwick
University Hospitals Coventry and Warwickshire NHS Trust
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. Provision of written informed consent 2. Actively trying for a pregnancy
Exclusion criteria
1. No active treatment in pregnancy 2. Inherited or acquired thrombophilia 3. Medical conditions- diabetes,hypertension,thyroid disorders 4. inability to tolerate internal examinations 5. uterine anomalies 6. Previous entry or randomisation in the present trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Live Birth Rate after 24 weeks of gestation | from the recruitment of the first patient up to 12 months after the recruitment of last patient. the live birth rate of all the pregnant patients in the study who delivered after 24 weeks will be included in the outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Miscarriage until 23+6 weeks of gestation | from the recruitment of the first patient and up to 12 months after the recruitment of last patient. the outcomes of all the pregnant patients in the study who delivered up to 23+6 weeks will be included in the outcome. | — |
| Pregnancy complications | from the recruitment of the first patient and up to 12 months after the recruitment of last patient. The patients who delivered after 24 weeks with a live birth will be included in the outcome and the described outcomes will be measured | Such as SGA(small for gestational age),PET( Pre-eclamptic toxaemia),Abruption, Placenta Praevia, Placenta accreta and Preterm delivery |
| Acceptability of the intervention | Patient questionnaire will be issued at the time of randomisation. the returned forms up to 4 weeks after randomisation will be analysed and reported. this will be helpful for assessing the patients tolerability of the procedure | To guide future trial set up |
Countries
United Kingdom
Outcome results
None listed