Induction of Labour, Macrosomia, Non-insulin-dependent Diabetes
Conditions
Keywords
shoulder dystocia, maternal and neonatal morbidity
Brief summary
A french study published in 2015 (DAME) showed a decrease of shoulder dystocia and an increase of spontaneous vaginal delivery when the non insulin-treated diabetes patients with large-for-date fetus were induced. This new protocole was introduced in Montpellier University Hospital delivery room. The aim of this study is to evaluate the protocole in Montpellier hospital and to compare our results with the DAME results.
Detailed description
Currently, large for date fœtus need an induction of labour just if the mother is an insulin diabetic. The DAME's protocol included the large for date feotus witch have a estimate weight \>3500g at 36 GA, \>3700g at 37 GA, \>3900g at 38 GA.
Interventions
OTHERinduction of labour
induction of labour
Sponsors
University Hospital, Montpellier
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
Age \>18 years old Single pregnancy Cephalic presentation no contraindications to planned vaginal delivery no fœtal pathology Large-for-date foetus (estimated weight \> 95%) : * Clinically suspeted or estilated weight \>90% at the 3 trimester ultrasound * Estimated fœtal weight : \> 3500g at 36 GA \> 3700g at 37 GA \> 3900g at 38 GA
Exclusion criteria
Age \<18 yeaurs old contraindications to vaginal delivery insulin-trated diabetics or imbalance diabetics. neonatal trauma or shoulder dystocia, severe urinary or faecal incontinence.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of shoulder dystocia | 1 day (after delivery) | number of shoulder dystocia |
| number of Clavicle fracture | 1 day (after delivery) | number of Clavicle fracture |
| number of Brachial plexus injury | 1 day (after delivery) | number of Brachial plexus injury |
| number of Intracranial heamorrhage | 1 day (after delivery) | number of Intracranial heamorrhage |
| number of Neonatal death | 1 day (after delivery) | number of Neonatal death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Forceps or vacuum for the patient | 1 day (after delivery) | Number of Forceps or vacuum for the patient |
| Number of Caesarean for the patient | 1 day (after delivery) | Number of Caesarean for the patient |
| Number of Anal sphincter tear for the patient | 1 day (after delivery) | Number of Anal sphincter tear for the patient |
| Number of Haemorrage and blood transfusion for the patient | 1 day (after delivery) | Number of Haemorrage and blood transfusion for the patient |
| Number of apgar < 7 at 5 min for the newborn | 1 day (after delivery) | Number of apgar \< 7 at 5 min for the newborn |
| Number of admission to neonatal intensive care unit for the newborn | 1 day (after delivery) | Number of admission to neonatal intensive care unit for the newborn |
| Number of highest bilirubin concentration for the newborn | 1 day (after delivery) | Number of highest bilirubin concentration for the newborn |
| Number of Cord blood pH< 7,10 for the newborn | 1 day (after delivery) | Number of Cord blood pH\< 7,10 for the newborn |
Countries
France
Outcome results
None listed