Fetal Pulse Oximetry Trial (FOX)
A Randomized Clinical Trial of Fetal Pulse Oximetry
15 other identifiers
interventional
10,000
1 country
13
Brief Summary
The purpose of this study is to determine if the information provided to the physician by a fetal pulse oximeter during labor will reduce the chances of a cesarean delivery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 pregnancy
Started May 2002
13 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2002
CompletedFirst Submitted
Initial submission to the registry
December 7, 2004
CompletedFirst Posted
Study publicly available on registry
December 8, 2004
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2005
CompletedMarch 18, 2022
March 1, 2022
December 7, 2004
March 16, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
cesarean delivery (any indication)
Secondary Outcomes (3)
cesarean delivery for non-reassuring fetal heart rate
cesarean delivery for dystocia
neonatal morbidity
Interventions
Eligibility Criteria
You may qualify if:
- Nulliparous
- Singleton, cephalic pregnancy
- Gestational age at least 36 weeks, 0 days
- Cervical dilatation \>= 2 cm
- Station -2 or below (5ths scale)
- Ruptured membranes
- Internal monitoring devices placed
You may not qualify if:
- Need for immediate delivery
- Planned cesarean delivery
- Cervical dilatation \> 6 cm
- Known fetal anomaly or demise
- Multifetal gestation
- Maternal fever
- Placenta previa
- Previous uterine surgery
- Active HSV infection
- Known HIV or hepatitis infection
- Diabetes requiring insulin
- Heart disease requiring medication
- Known chronic renal disease
- Enrollment in another labor study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (13)
University of Alabama - Birmingham
Birmingham, Alabama, 35233, United States
Northwestern University
Chicago, Illinois, 60611, United States
Wayne State University
Detroit, Michigan, 48201, United States
Columbia University
New York, New York, 10032, United States
University of North Carolina - Chapel Hill
Chapel Hill, North Carolina, 27599, United States
Wake Forest University School of Medicine
Winston-Salem, North Carolina, 27157, United States
Case Western University
Cleveland, Ohio, 44109, United States
Dexel University
Philadelphia, Pennsylvania, 19107, United States
University of Pittsburgh Magee Womens Hospital
Pittsburgh, Pennsylvania, 15213, United States
Brown University
Providence, Rhode Island, 02905, United States
University of Texas - Southwest
Dallas, Texas, 75235, United States
University of Texas - Houston
Houston, Texas, 77030, United States
University of Utah Medical Center
Salt Lake City, Utah, 84132, United States
Related Publications (11)
Goffinet F, Langer B, Carbonne B, Berkane N, Tardif D, Le Goueff F, Laville M, Maillard F. Multicenter study on the clinical value of fetal pulse oximetry. I. Methodologic evaluation. The French Study Group on Fetal Pulse Oximetry. Am J Obstet Gynecol. 1997 Nov;177(5):1238-46. doi: 10.1016/s0002-9378(97)70045-0.
PMID: 9396924BACKGROUNDGarite TJ, Dildy GA, McNamara H, Nageotte MP, Boehm FH, Dellinger EH, Knuppel RA, Porreco RP, Miller HS, Sunderji S, Varner MW, Swedlow DB. A multicenter controlled trial of fetal pulse oximetry in the intrapartum management of nonreassuring fetal heart rate patterns. Am J Obstet Gynecol. 2000 Nov;183(5):1049-58. doi: 10.1067/mob.2000.110632.
PMID: 11084540BACKGROUNDBloom SL, Spong CY, Thom E, Varner MW, Rouse DJ, Weininger S, Ramin SM, Caritis SN, Peaceman A, Sorokin Y, Sciscione A, Carpenter M, Mercer B, Thorp J, Malone F, Harper M, Iams J, Anderson G; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Fetal pulse oximetry and cesarean delivery. N Engl J Med. 2006 Nov 23;355(21):2195-202. doi: 10.1056/NEJMoa061170.
PMID: 17124017BACKGROUNDRouse DJ, Weiner SJ, Bloom SL, Varner MW, Spong CY, Ramin SM, Caritis SN, Peaceman AM, Sorokin Y, Sciscione A, Carpenter MW, Mercer BM, Thorp JM Jr, Malone FD, Harper M, Iams JD, Anderson GD; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Second-stage labor duration in nulliparous women: relationship to maternal and perinatal outcomes. Am J Obstet Gynecol. 2009 Oct;201(4):357.e1-7. doi: 10.1016/j.ajog.2009.08.003.
PMID: 19788967BACKGROUNDContag SA, Clifton RG, Bloom SL, Spong CY, Varner MW, Rouse DJ, Ramin SM, Caritis SN, Peaceman AM, Sorokin Y, Sciscione A, Carpenter MW, Mercer BM, Thorp JM Jr, Malone FD, Iams JD. Neonatal outcomes and operative vaginal delivery versus cesarean delivery. Am J Perinatol. 2010 Jun;27(6):493-9. doi: 10.1055/s-0030-1247605. Epub 2010 Jan 22.
PMID: 20099218BACKGROUNDRobinson BK, Mapp DC, Bloom SL, Rouse DJ, Spong CY, Varner MW, Ramin SM, Sorokin Y, Sciscione A, Mercer BM, Thorp JM Jr, Malone FD, Harper M, Ehrenberg H. Increasing maternal body mass index and characteristics of the second stage of labor. Obstet Gynecol. 2011 Dec;118(6):1309-1313. doi: 10.1097/AOG.0b013e318236fbd1.
PMID: 22105260BACKGROUNDRouse DJ, Weiner SJ, Bloom SL, Varner MW, Spong CY, Ramin SM, Caritis SN, Grobman WA, Sorokin Y, Sciscione A, Carpenter MW, Mercer BM, Thorp JM Jr, Malone FD, Harper M, Iams JD, Anderson GD; Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units Network (MFMU). Failed labor induction: toward an objective diagnosis. Obstet Gynecol. 2011 Feb;117(2 Pt 1):267-272. doi: 10.1097/AOG.0b013e318207887a.
PMID: 21252738BACKGROUNDTita AT, Lai Y, Bloom SL, Spong CY, Varner MW, Ramin SM, Caritis SN, Grobman WA, Sorokin Y, Sciscione A, Carpenter MW, Mercer BM, Thorp JM Jr, Malone FD, Harper M, Iams JD. Timing of delivery and pregnancy outcomes among laboring nulliparous women. Am J Obstet Gynecol. 2012 Mar;206(3):239.e1-8. doi: 10.1016/j.ajog.2011.12.006. Epub 2011 Dec 16.
PMID: 22244471BACKGROUNDSegel SY, Carreno CA, Weiner SJ, Bloom SL, Spong CY, Varner MW, Rouse DJ, Caritis SN, Grobman WA, Sorokin Y, Sciscione A, Mercer BM, Thorp JM, Malone FD, Harper M, Iams JD; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Relationship between fetal station and successful vaginal delivery in nulliparous women. Am J Perinatol. 2012 Oct;29(9):723-30. doi: 10.1055/s-0032-1314895. Epub 2012 May 29.
PMID: 22644826BACKGROUNDCostantine MM, Lai Y, Bloom SL, Spong CY, Varner MW, Rouse DJ, Ramin SM, Caritis SN, Peaceman AM, Sorokin Y, Sciscione A, Mercer BM, Thorp JM, Malone FD, Harper M, Iams JD; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Population versus customized fetal growth norms and adverse outcomes in an intrapartum cohort. Am J Perinatol. 2013 Apr;30(4):335-41. doi: 10.1055/s-0032-1324708. Epub 2012 Aug 14.
PMID: 22893556BACKGROUNDLangen ES, Weiner SJ, Bloom SL, Rouse DJ, Varner MW, Reddy UM, Ramin SM, Caritis SN, Peaceman AM, Sorokin Y, Sciscione A, Carpenter MW, Mercer BM, Thorp JM Jr, Malone FD, Iams JD; Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU) Network. Association of Cervical Effacement With the Rate of Cervical Change in Labor Among Nulliparous Women. Obstet Gynecol. 2016 Mar;127(3):489-495. doi: 10.1097/AOG.0000000000001299.
PMID: 26855099BACKGROUND
Related Links
Study Officials
- STUDY DIRECTOR
Cathy Spong, MD
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
- PRINCIPAL INVESTIGATOR
Elizabeth A Thom, Ph.D.
George Washington University Biostatistics Center
- STUDY CHAIR
Steven L Bloom, M.D.
University of Texas
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 7, 2004
First Posted
December 8, 2004
Study Start
May 1, 2002
Study Completion
February 1, 2005
Last Updated
March 18, 2022
Record last verified: 2022-03