Trial of labor after previous cesarean delivery
Conditions
Interventions
Electrohysterography as method of monitoring uterine activity during a trial of labor after previous cesarean delivery
Sponsors
Máxima MC Veldhoven
Eligibility
Inclusion criteria
Inclusion criteria: - Pregnant women aged 18 years or older with previous CD - Singleton pregnancy - 37 to 41 weeks of gestation - Cephalic presentation - Spontaneous onset of labor All patients included for this study must provide informed consent.
Exclusion criteria
Exclusion criteria: - Estimated fetal weight >4000g - Maternal age above 40 years - Classical vertical or T- or J-incision of uterus - Previous uterine rupture - Cesarean delivery in previous 12 months - Labor dystocia or failed induction as indication for previous cesarean delivery - Placenta praevia, vasa praevia, fetus with relevant congenital malformation that can influence the delivery mode - Primary infection of genital herpes simplex or active HIV - Suspicion for abruptio placentae - Dermatologic diseases, external or internal electrical stimulator and water birth.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of successful TOL will be the primary outcome measure in this study. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures will be reason for secondary CD, percentage instrumental vaginal deliveries, oxytocin augmentation, complications during delivery (e.g. uterine ruptures), maternal blood loss, duration of first and second phase of labor, neonatal outcomes such as Apgar score 12, admission to neonatal intensive care unit and perinatal mortality. | — |
Contacts
Public ContactMarion Frenken
Máxima Medisch Centrum, Veldhoven
Outcome results
None listed