RECRUITING

Maternal Maneuvers During Prolonged Labor

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This pilot, randomized control trial will test whether or not a specific circuit of position changes improves maternal outcomes in cases of prolonged labor. Patient who have prolonged labor will be approached for consent and randomization to one of two study groups: circuit intervention against routine standard of care position changes. 82 patients will be enrolled in the study. Exclusion criteria will include: any uterine infection prior to randomization, magnesium sulfate treatment, major fetal anomalies, BMI ≥50, non-reassuring fetal status prior to randomization, or any maternal diagnosis that precludes safety or feasibility of the circuit of maternal position changes. The 3 aims of the study will include: the outcome that the circuit of position changes has on the duration of the first stage of labor, maternal and neonatal morbidity, and maternal satisfaction.

Official Title

CIRCUIT: Maternal Maneuvers During Prolonged Labor, A Pilot Randomized Control Trial

Quick Facts

Study Start:2024-12-10
Study Completion:2026-05-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06636149

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:12 Years
Sexes Eligible for Study:FEMALE
Accepts Healthy Volunteers:No
Standard Ages:CHILD, ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * English-speaking patients
  2. * Singleton, vertex pregnancies
  3. * 34 weeks' gestation or later
  4. * Admitted to Labor and Delivery in spontaneous labor or for an induction of labor
  5. * Prolonged labor course as defined by: cervical dilation less than 6 cm after 8 hours or more of ruptured membranes (spontaneous or artificial) and oxytocin infusion, or cervical dilation 6 cm or more and less than 1-cm cervical dilation change over 2 hours or more with ruptured membranes and oxytocin infusion
  1. * Intraamniotic infection prior to randomization
  2. * Magnesium sulfate treatment
  3. * Major fetal anomalies
  4. * BMI ≥50
  5. * Non-reassuring fetal status prior to randomization
  6. * Any maternal diagnosis that precludes safety or feasibility of intrapartum circuit of maternal position changes

Contacts and Locations

Study Contact

Drew Hensel Maternal Fetal Medicine Fellow, MD
CONTACT
314-718-0839
dhensel@wustl.edu

Study Locations (Sites)

Washington University Medicine
Saint Louis, Missouri, 63110
United States

Collaborators and Investigators

Sponsor: Washington University School of Medicine

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-12-10
Study Completion Date2026-05-31

Study Record Updates

Study Start Date2024-12-10
Study Completion Date2026-05-31

Terms related to this study

Keywords Provided by Researchers

  • Circuit
  • Position changes
  • Labor
  • Prolonged labor
  • Labor dystocia

Additional Relevant MeSH Terms

  • Labor Stage, First
  • Prolonged Labor