Non-progressing labour (niet vorderende ontsluiting) Diagnosis (diagnose) Cesarean section (keizersnede) Morbidity (morbiditeit)
Conditions
Interventions
When after all regular interventions for non-progressing labour (amniotomy, oxytocin augmentation, empty bladder, pain medication) the Friedman partogram action line is crossed, randomization occurs i
Sponsors
Maastricht University Medical Centre +
NVOG Consortium 2.0
Eligibility
Inclusion criteria
Inclusion criteria: Nulliparous Singleton pregnancy Cephalic presentation ≥ 37 weeks of pregnancy ≥ 4 cm dilatation Non-progressing labour (<1cm/hour)
Exclusion criteria
Exclusion criteria: < 18 years of age Unable to read or understand informed consent Fetus with relevant congenital malformation Planned caesarean section Non reassuring fetal condition Inadequate pain medication (as judged by the women herself, no absolute need for epidural, but pain needs to be considered manageable for continuation of delivery)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mortality and composite morbidity: maternal IC admittance, Apgar score <7 after 5 minutes, pH <7.10, NICU admittance. | — |
Secondary
| Measure | Time frame |
|---|---|
| Delivery mode, Shoulder dystocia, Anal sphincter lesions, Blood loss, Need for blood transfusion, Maternal infection, Neonatal infection, Duration of admission to the hospital, Total number of caesarean sections in the target population (including non participating women). Furthermore cost evaluation, budget impact, patient preference and patient satisfaction. | — |
Contacts
Public ContactH.C.J. Scheepers
Maastricht Universitair Medisch Centrum+
Outcome results
None listed