Labor, Induced, Labor, Obstetric, Labor Onset, Predictive Model
Conditions
Brief summary
The study intends to develop a predictive model of spontaneous onset of labor between 39 and 41 weeks of pregnancy in women carrying singletons and without indication of delivery before this date. The main hypothesis is that a combination of clinical, ultrasonographic, biochemical and/or biophysical variables will allow to differentiate women who will spontaneously trigger their labors from those who will require an induction by the term of their pregnancies. A tool of this kind should aid in the individualization of the management of the final weeks of pregnancy and, at the light of recent evidence, provide support to the decision-making processes.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Alive fetus * Singletons * Cephalic presentation * Intact membranes * Gestational age ≥ 38 weeks and 5 days
Exclusion criteria
* Fetal malformations * Symptomatic uterine contractions * Contraindication for vaginal delivery * Medical indication of induction of labor or elective cesarean delivery * Maternal desire to induce labor * Maternal negative to enrollment * Language barrier * Inability to give consent Specific
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Spontaneous versus induced onset of labor | 3 weeks | Number of participants who will spontaneously go into labor between the 39th and the 41st week of pregnancy versus number of participants requiring an induction of labor during the 41st week of pregnancy due to advanced gestational age |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gestational age at spontaneous onset of labor | 2 weeks | Time from sample collection at 39 weeks of pregnancy to spontaneous onset of labor |
Countries
Switzerland