Relationship Between Delivery Route and Fetal Complications With Doppler Indices and CPR Parameters
Doppler
Assessment of the Relationship Between Delivery Route, Umbilical Cord pH and Fetal Complications With Doppler Parameters Measured Prior to Induction of Labor at Term Pregnancies.
1 other identifier
observational
145
1 country
1
Brief Summary
Term pregnancies within their 37-41 gestational week, who were planned to undergo induction of labor, were included in the study. Prior to initiation of the induction of labor, all included pregnant women underwent an assessment of Doppler flow indices, which included fetal umblical artery PI (pulsatility index) and fetal middle cerebral artery (MCA:Middle cerebral arter) PI. Cerebroplacental Ratio (CPR) was calculated by dividing MCA PI value to umbilical artery PI (MCA PI/UA PI=CPR).Included pregnant women were categorized as Group 1 and Group 2, which comprised of those with CPR value below 1.0 and above 1.0, respectively. Route of delivery and fetal complications, described as umbilical cord pH\<7.20, APGAR score at 5 minutes \<7, meconium aspiration syndrome, newborn intensive care unit admission, neonatal sepsis and neonatal death.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Dec 2018
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2019
CompletedFirst Submitted
Initial submission to the registry
November 7, 2019
CompletedFirst Posted
Study publicly available on registry
November 12, 2019
CompletedNovember 13, 2019
November 1, 2019
10 months
November 7, 2019
November 8, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Umblical arter pH
Umbilical cord blood sampling just after the delivery of the newborn and pH measurement
Within 1-3 minutes following delivery
APGAR score at 5 minutes
APGAR score determined by the pediatrician at postpartum 5 minutes
Postpartum 5 minutes
Meconium aspiration syndrome
Meconium aspiration syndrome diagnosed by the pediatrician, either clinically or by thorax X-ray film.
Within postpartum two weeks
Newborn intensive care unit administration
Newborn intensive care unit administration, due to a variety of conditions, which were established by pediatrician
Within postpartum 1 month period
Neonatal sepsis
Neonatal sepsis diagnosed by the pediatrician
Within postpartum 1 month period
Neonatal death
Neonatal death
Within postpartum 1 month period
Secondary Outcomes (1)
Route of delivery
At the time of delivery
Study Arms (2)
Group 1
Pregnant women with CPR value below 1, based on Doppler indices assessment
Group 2
Pregnant women with CPR value equal to or above 1, based on Doppler indices assessment
Interventions
Doppler flow indices, UA-PI, MCA-PI and CPR values, assessment performed prior to induction of labor
Eligibility Criteria
Term pregnancies within their 37-41 gestational week, who were planned to undergo induction of labor, were included in the study. Prior to initiation of the induction of labor, all included pregnant women underwent an assessment of Doppler flow indices, which included fetal umblical artery PI (pulsatility index) and fetal middle cerebral artery (MCA:Middle cerebral arter) PI.
You may qualify if:
- Term pregnancies between 37 and 41 gestational weeks Pregnancies destined to induction of labor
You may not qualify if:
- history of uterine scar, nonverteks presentation, multiple pregnancies, use of vacuum of forceps at delivery, shoulder dystocia, confirmed fetal structural or chromosomal anomalies
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Istanbul Medeniyet University
Istanbul, 34722, Turkey (Türkiye)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- M.D., Principal Investigator, Clinical Investigator of OB&GYN
Study Record Dates
First Submitted
November 7, 2019
First Posted
November 12, 2019
Study Start
December 1, 2018
Primary Completion
September 30, 2019
Study Completion
October 31, 2019
Last Updated
November 13, 2019
Record last verified: 2019-11
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP