Engagement of Fetal Head as a Predictor of a Successful Vaginal Delivery in Primigravidas Presented in Early Labor.

NCT05084326 | Completed

• 1 other identifier: AinShamsU Hos
• Study Type: observational
• Target: 226
• Locations: 1 country
• Sites: 1

Brief Summary

In primigravida, Delayed engagement of fetal head has been theorized that it is more likely in women with a possible cephalo-pelvic disproportion, so far they are associated with higher risk of cervical dystocia, which led to increased rate of caesarean section.

Conditions

Labor Onset and Length Abnormalities

Outcome Measures

Primary Outcomes (1)

• Incidence of cesarean section in primigravidas with unengaged fetal head in compare to primigavidas with engaged fetal head .

  section in primigravidas with unengaged fetal head in compare to primigavidas with engaged fetal head .

  24 hours

Secondary Outcomes (1)

• Duration of labor progress in patients with unengaged

  24 Hours

Study Arms (1)

Mohamedabosena

Procedure: Engagement of fetal head as a predictor of a successful vaginal delivery

Interventions

Engagement of fetal head as a predictor of a successful vaginal delivery PROCEDURE

In addition to the fetal lie, presentation, and position, the level or station of the presenting part in the maternal pelvis is an important factors in the labor process. In primigravida, Delayed engagement of fetal head has been theorized that it is more likely in women with a possible cephalo-pelvic disproportion, so far they are associated with higher risk of cervical dystocia, which led to increased rate of caesarean section.

Mohamedabosena

Eligibility Criteria

• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

primigravidas, full term in early labor, Ain shams maternity hospital.

You may qualify if:

• Term pregnancy (37-42) weeks.
• Expected foetal birth weight of 2.5-4.0 kg on USG at term.
• Singleton live pregnancy.
• Cephalic presentation.
• Cervical dilatation of =/\< 4cms.
• Reactive CTG at onset of labour.
• Confirmation of ROM by Direct visualization or Fern test.

You may not qualify if:

• Contracted pelvis.
• Previous uterine surgery " upper segment ".
• Pregnancy complications like antepartum haemorrhage, pregnancy induced hypertension, gestational diabetes mellitus, IUGR.
• Fetal congenital anomalies.
• Abnormal or non reassuring fetal CTG at term or at onset of labour.

Sponsors & Collaborators

• mohamed abosena: lead
• Ain Shams University: collaborator

Study Sites (1)

Ain Shams university

Cairo, 11511, Egypt

Location

Study Officials

• Mohamed M sami, Consultant

  As.Professor

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 3, 2021
• First Posted: October 19, 2021
• Study Start: November 3, 2020
• Primary Completion: October 3, 2021
• Study Completion: November 20, 2021
• Last Updated: January 21, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)