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Rates of Fetal Extractions Between Only Vaginal Touch Usually Realized and Vaginal Touch + Echography (PINKFINGER)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Assistance Publique - Hôpitaux de Paris
ClinicalTrials.gov Identifier:
NCT01436409
First received: August 8, 2011
Last updated: November 25, 2011
Last verified: July 2011
History of Changes
  Purpose

The main objective of this study is to compare the rate of fetal extractions between a systematic practice of an echography of presentation and the vaginal touch only one usually realized during the labor.


Condition Intervention
Assisted Delivery
 Other: echography

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: Comparison of the Rates of Fetal Extractions Between a Systematic Practice of an Echography of Presentation and the Only Vaginal Touch Usually Realized During the Labor

Further study details as provided by Assistance Publique - Hôpitaux de Paris:

Primary Outcome Measures:
  • to compare the rate of fetal extractions between a systematic practice of an echography of presentation and the vaginal touch only one usually realized during the labor. [ Time Frame: TWO DAYS ] [ Designated as safety issue: No ]
    to compare the rate of fetal extractions between a systematic practice of an echography of presentation and the vaginal touch only one usually realized during the labor.


Secondary Outcome Measures:
  • to optimize the coverage delivery in case of extraction by pair of forceps or suction cup. [ Time Frame: two days ] [ Designated as safety issue: No ]
    If systematic echography during labor optimize the coverage delivery in case of extraction by pair of forceps or suction cup.


Enrollment: 1900
Study Start Date: December 2005
Study Completion Date: October 2011
Primary Completion Date: October 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
only vaginal touch Other: echography
echography during labor
Other Name: echography
Experimental: vaginal touch +echography Other: echography
echography during labor
Other Name: echography

Detailed Description:

The main objective is to compare the rate of fetal extractions between a systematic practice of an echography of presentation and the vaginal touch only one usually realized during the labor.

It is a prospective, randomized study. After randomization, the patients will be assigned to one of following both groups:

  • Diagnosis of the variety of presentation of the fetal head by the usual examination, that is the only vaginal touch allowing the palpation of the sutures of the fetal head to locate the axis and the orientation of this one in the maternal pond. However, this clinical examination can be completed by an echography if the team considers that this information is necessary to optimize the coverage delivery in case of extraction by pair of forceps or suction cup.

  • Diagnosis of the variety of presentation of the fetal head by the vaginal touch, confirmed by the systematic practice of an abdominal echography completed by a perineal echography from 8 cms of dilation, and made for a maximal extension of 15 minutes following the vaginal touch. This echography will be at the need repeated

    1900 patients (that is 950 by group) have to allow to detect a decrease of 25 % of the rate of deliveries assisted in the experimental group (systematic echography) with regard to the control group (TV), that is a decrease absolved from the rate from 20 % to 15 %, with a 80 % power and a risk of 5 % (bilateral test).

Duration of participation in the study: = 2 days Duration of the inclusions: 36 months

Criteria of efficiency Rate of deliveries attended defined by a composite criteria: deliveries by caesarian from a dilation of the cervix = 8 cms, and instrumental extractions by pair of forceps or suction cup.

  Eligibility

Ages Eligible for Study:   18 Years to 50 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • ≥ 18 years
  • singleton pregnancy in head presentation
  • gestational age ≥ 37 WG
  • dilation of the cervix = 8 cms

Exclusion Criteria:

  • caesarian antecedent, preeclampsia, praevia placental
  • maternal and pregnancy pathology
  • included in other trial
  • absent consent
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01436409

Locations
France
Chi Poissy St Germain
Poissy, France, 78320
Sponsors and Collaborators
Assistance Publique - Hôpitaux de Paris
Investigators
Principal Investigator: patrick Rozenberg, PU-PH Assistance Publique - Hôpitaux de Paris
  More Information

No publications provided

Responsible Party: Assistance Publique - Hôpitaux de Paris
ClinicalTrials.gov Identifier: NCT01436409     History of Changes
Other Study ID Numbers: P050304, 2005/0570
Study First Received: August 8, 2011
Last Updated: November 25, 2011
Health Authority: France: Ministry of Health

Keywords provided by Assistance Publique - Hôpitaux de Paris:
vaginal touch
deliveries assisted
echography
assisted delivery

ClinicalTrials.gov processed this record on June 17, 2013