The intra uterine pressure catheter, the best way to messure uterine contractions? A comparison of the intra uterine pressure catheter and the abdominal uterine pressure measurement during labor

The intra uterine pressure catheter, the best way to messure uterine contractions? A comparison of the intra uterine pressure catheter and the abdominal uterine pressure measurement during labor - How to measure contractions during labor, intra uterine or abdominal?

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON30600

Enrollment

500

Registered

2007-05-10

Start date

2007-05-11

Completion date

Unknown

Last updated

2024-05-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

strenght of contractions

Interventions

None listed

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: -The women have to be in active labor. (The midwife or resident is the judge of that and has to decide that she's going to deliver) - spontaneous contractions (There's no primairy induction, and there has to be an expectacion of normal delivery) - The patient is high risk, but the indication has nothing to do with the progression of labor. - The patients are Aterme. Between the 37 and 42 weeks -there has to be a minimal of 2 centimeters dilation (with less dilation it's impossible to place the catheter)

Exclusion criteria

Exclusion criteria: -Take overs from low risk groups with indications: *dilations with not enough progress (in need of augmentation) *request epidural *all indications witch are not during the stage of dilation - induction af labor -primairy oxytocin augmention - Intra uterine infections -intra uterine fetal death - breech - twin pregnancies - maternal age

Design outcomes

Primary

Measure	Time frame
During of labor: THe moment of rupturing of the membranes, or the start of dilation with contractions needs to be noted, the time being meassured starts from first vaginal examination till the birth of the child. Interventions during labor: - augmentation - Sedation (pethidine) - Epidural analgesie - MBO (micro blood resaerch) Outcome labor: - Episiotomy - Artificial births (splits on indications no progress and fetal stress) - Sectio caesarea Outcome neonatal: - Apgar scores after 1, 5 en 10 minuten - pH and BE from umbilicalcord blood There will by looked at parae , etnicis and age, after the trial this will be corrected. The groups are split in the intra uterine pressure catheter and the external meassurement. These two will be compared. From the moment the women is randomized, she stays in the group she started. Independendly from interventions during the delivery. This means that a part of the women gets a intra uterine pressure cathter aldo they where primairy not in that group. This can happen when: - There is not enough progress - need for epidural - suspicion of fetal stress - inadequate external contractions registration	—

Measure

Time frame

During of labor: THe moment of rupturing of the membranes, or the start of dilation with contractions needs to be noted, the time being meassured starts from first vaginal examination till the birth of the child. Interventions during labor: - augmentation - Sedation (pethidine) - Epidural analgesie - MBO (micro blood resaerch) Outcome labor: - Episiotomy - Artificial births (splits on indications no progress and fetal stress) - Sectio caesarea Outcome neonatal: - Apgar scores after 1, 5 en 10 minuten - pH and BE from umbilicalcord blood There will by looked at parae , etnicis and age, after the trial this will be corrected. The groups are split in the intra uterine pressure catheter and the external meassurement. These two will be compared. From the moment the women is randomized, she stays in the group she started. Independendly from interventions during the delivery. This means that a part of the women gets a intra uterine pressure cathter aldo they where primairy not in that group. This can happen when: - There is not enough progress - need for epidural - suspicion of fetal stress - inadequate external contractions registration

—

Secondary

Measure	Time frame
no secondary parameters	—

Countries

Netherlands

Outcome results