Clinical trials: Vaginal Birth After Cesarean
Failed Trial of Labor, Unspecified, With Delivery, Failed VBAC (Vaginal Birth After Caesarean)
Oxytocin Induction in Full Term Pregnant Women With Cesarean Section of Prelabor Rupture of Membranes
This study is a multi-center, prospective, observational clinical trial study. 528 full-term pregnant women will be enrolled as subjects, and the ratio of eligible subjects in the two groups is 1:1.
- Conditions
- Failed Trial of Labor, Unspecified, With Delivery, Failed VBAC (Vaginal Birth After Caesarean), Prelabor Rupture of Membranes, Failed Induction (of Labor) by Oxytocin
- Trial name
- NCT05333731
- Testing
- Oxytocin
- Where
- China
- Volunteers
- 528 people
- Sponsor
- The First Affiliated Hospital with Nanjing Medical University
Instrumental Delivery, NEC, Affecting Fetus or Newborn
PROPENSITY-ID: Sonographic and Clinical Assessment of Head Position Prior to Instrumental Delivery and Labour Outcomes
Instrumental delivery is performed in 3-15% of all births (1). Successful instrumental delivery avoids need for cesarean section with associated maternal surgical morbidity, risk from neonatal disimpaction and future pregnancy…
- Conditions
- Instrumental Delivery, NEC, Affecting Fetus or Newborn, Second Stage Cesarean Delivery, Occiput Position
- Trial name
- PROPENSITYID (NCT05557097)
- Testing
- Intrapartum sonography
- Where
- Italy
- Volunteers
- 2,282 people, healthy volunteers welcome
- Sponsor
- University of Parma
Numerical Rating Pain Score, the Total Doses of Pethidine Needed Through-out Delivery Will be Measured
Thoracic Erector Spinae Plane Block for Painless 1st Stage Normal Vaginal Delivery: Randomized Controlled Study
this study will test a novel indication for bilateral erector spinae plane block (painless 1st stage normal vaginal delivery) it depends on the hypnosis that the erector spinae plane block blocks the visceral pain also by…
- Conditions
- Numerical Rating Pain Score, the Total Doses of Pethidine Needed Through-out Delivery Will be Measured, the Incidence of Failed Delivery and Need of Cesarean Section Will be Assessed, the Incidence of Transient Fetal Bradycardia or Deceleration After the Administration of the Block Will be Recorded
- Trial name
- NCT04981353
- Testing
- bilateral erector spinae plane block at T11
- Where
- Egypt
- Volunteers
- 30 people
- Sponsor
- Ain Shams University
Pelvic Floor Disorders
Pelvic Floor Function After Vaginal and Cesarean Delivery Among Egyptian Women
A cross sectional study for assessment of pelvic floor functions after 6 months to 4 years after normal vaginal delivery or Cesarean section
- Trial name
- NCT03126604
- Testing
- female sexual function index
- Where
- Egypt
- Volunteers
- 5,000 people, healthy volunteers welcome
- Sponsor
- Cairo University
Endometrial, Infection
EFFECTIVENESS OF PREOPERATIVE VAGINAL CLEANING IN REDUCING POST CAESAREAN INFECTIOUS MORBIDITY
After obtaining an informed consent a detailed history and clinical examination was performed. Labs were carried out to fulfill inclusion and exclusion criteria. Women were randomly divided into two groups.
- Conditions
- Endometrial, Infection, Surgical Site Infection Following Cesarean Delivery
- Trial name
- NCT07053995
- Testing
- Vaginal cleaning, Non vaginal cleansing
- Where
- Pakistan
- Volunteers
- 76 people, healthy volunteers welcome
- Sponsor
- Khyber Teaching Hospital
Pregnancy, Cesarean Section
Vaginal Birth After Caesarean Section - Effect on Maternal Psychosocial Function
The incidence of caesarean section has reached 15-20% in most developed countries. Encouraging vaginal birth after caesareans section (VBAC) has been considered a key component of a strategy to reduce the caesarean section rate.
- Conditions
- Pregnancy, Cesarean Section, Uterine Rupture
- Trial name
- NCT00517140
- Testing
- Repeat Caesaen section, vaginal delivery
- Where
- China
- Volunteers
- 262 people
- Sponsor
- Hospital Authority, Hong Kong
Term Pregnancy, Labour Induction
Effect of Membrane Sweeping at Term on Duration of Onset of Labour at Tertiary Care Hospital (EMSTDOLTCH)
The goal of this clinical trial is to learn whether membrane sweeping can help start labour naturally and improve delivery outcomes in women with term pregnancy.
- Conditions
- Term Pregnancy, Labour Induction, Delayed Onset of Labour, Post Term Pregnancy
- Trial name
- EMSTDOLTCH (NCT07615946)
- Testing
- membrane sweeping, Routine Vaginal examination
- Where
- Pakistan
- Volunteers
- 214 people
- Sponsor
- Kharadar General Hospital
Duration of Labor
Obstetrical Gel and Its Impact in Shortening the Duration of Labor in Women Undergoing a Vaginal Birth After Cesarean (VBAC)
The objective of our study is to investigate whether the use of obstetric gel shortens the first and second stage of labor and exerts a protective effect on the lower genital tract in women undergoing a Vaginal Birth After…
- Trial name
- NCT03751553
- Testing
- obsteric gel(k-Y jelly)
- Where
- Egypt
- Volunteers
- 200 people, healthy volunteers welcome
- Sponsor
- Cairo University
Scar; Previous Cesarean Section, Vaginal Birth After Cesarean
University of North Carolina-Healthwise Partnership Project on Birth Options Decision Aid
This is pilot quasi-experimental study of women with one or two prior cesarean deliveries who are now pregnant and eligible for a trial of labor after cesarean delivery, to assess whether a decision aid, providing knowledge about…
- Conditions
- Scar; Previous Cesarean Section, Vaginal Birth After Cesarean, Decision Making, Shared
- Trial name
- B-READY (NCT04053413)
- Testing
- Decision Aid
- Where
- United States
- Volunteers
- 100 people, healthy volunteers welcome
- Sponsor
- University of North Carolina, Chapel Hill
Uterine Rupture, Mode of Delivery
Uterine Rupture During Labor Among Women With a Prior Cesarean Delivery
Although a rare event, uterine rupture during labour is one of the most serious obstetric complications because of the dramatic maternal-fetal consequences that can result.
- Trial name
- NCT04566705
- Testing
- Risks factors, maternal and neonatal outcomes/complications
- Where
- France
- Volunteers
- 95 people
- Sponsor
- University Hospital, Montpellier
Trial of Labor After Cesarean, Vaginal Birth After Cesarean
Balloon Catheter Combined With Oxytocin Induction Among the Pregnant Women With Previous Cesarean Section
This study is a multi-center, prospective, observational clinical trial study. 924 full-term pregnant women will be enrolled as subjects, and the ratio of eligible subjects in the two groups is 1:1.
- Conditions
- Trial of Labor After Cesarean, Vaginal Birth After Cesarean, Bishop Score, Failed Mechanical Induction
- Trial name
- NCT05246761
- Testing
- Balloon catheter
- Where
- China
- Volunteers
- 924 people, healthy volunteers welcome
- Sponsor
- The First Affiliated Hospital with Nanjing Medical University
Postpartum Hemorrhage
Rotational Thromboelastometry for the Transfusion Management of Postpartum Hemorrhage After Vaginal or Cesarean Delivery
The aim of this study is to evaluate the impact of a rotational thromboelastometry (ROTEM®)-based transfusion protocol during postpartum hemorrhage (PPH) after vaginal or cesarean delivery.
- Trial name
- NCT03064152
- Testing
- Rotational Thromboelastometry
- Where
- United States
- Volunteers
- 49 people, healthy volunteers welcome
- Sponsor
- Brigham and Women's Hospital
Cesarean Scar Defects, Cesarean Section Complications
Diagnostic Accuracy of Saline Sonohystrography vs. 3D Transvaginal Ultrasound for Cesarean Scar Defect Assessment
To compare accuracy of three dimensional transvaginal ultrasound versus the "gold standard" saline infused sonography for assessing the characteristics, frequency and appearance of caesarean scar defects in symptomatic patients…
- Conditions
- Cesarean Scar Defects, Cesarean Section Complications, Uterine Scar Dehiscence, Vaginal Birth After Cesarean
- Trial name
- NCT05996926
- Testing
- Three-Dimensional Transvaginal Ultrasound (3D TVS), Saline-Infused Sonography (Sonohystrography)
- Where
- Egypt
- Volunteers
- 72 people
- Sponsor
- Cairo University
Contraception
Verbal Analgesia During Copper IUD Insertion After Cesarean Delivery
This open-label, parallel-group randomized controlled trial evaluated whether structured verbal analgesia reduces pain during Copper T380A intrauterine device insertion compared with standardized neutral communication in women…
- Trial name
- NCT07326007
- Testing
- Verbal Analgesia, Providers will use a standardized neutral script with brief instructions only (e.g., "I am now placing the speculum," "I am sounding the uterus," "The IUD is being inserted," "The procedure is complet
- Where
- Egypt
- Volunteers
- 88 people, healthy volunteers welcome
- Sponsor
- Cairo University
Low Back Pain and Core Muscle
Low Back Pain Intensity and Core Muscle Strength After Different Delivery Modes
Cesarean delivery (CD) may trigger an increase in low back pain (LBP) intensity and induce core muscle weakness. This study will assess the correlation between low back pain intensity and core muscle strength of transverse…
- Trial name
- NCT05493891
- Testing
- Visual analogue scale (VAS), Pressure Biofeedback Unit (PBU)
- Where
- Egypt
- Volunteers
- 36 people
- Sponsor
- South Valley University
Pelvic Floor Muscle Weakness
A Randomized Controlled Trial Comparing the Effect of Pelvic Floor Muscle Training
Aim: To determine the effects of pelvic floor muscle training (PFMT) in women with a single delivery route. Pregnancy and delivery route alter the pelvic floor muscle strength and are considered risk factors for urinary…
- Trial name
- PFMT (NCT01794910)
- Testing
- Pelvic floor muscle therapy
- Where
- Brazil
- Volunteers
- 297 people
- Sponsor
- University of Sao Paulo
Vaginal Delivery
Role of the Intrapartum Grobman Nomogram in the Indication of Attempted Vaginal Delivery After Cesarean Section
The rate of pregnant patients with a history of cesarean section is increasing. Caesarean section is a surgery which is not without risk and in particular concerning the risk of uterine rupture and malplacentation during a new…
- Trial name
- GPP (NCT06202768)
- Testing
- data collection
- Where
- France
- Volunteers
- 800 people
- Sponsor
- Central Hospital, Nancy, France
Attempted Vaginal Delivery After a Cesarean Section
A Specific Cervicograph for Women Attempting at Vaginal Delivery After Cesarean Section
The main objective is to evaluate a specific cervicograph (the graph describing the cervical dilation, included in the partograph) for pregnant women with an history of cesarean section, to improve the management of labor for…
- Trial name
- NCT03298594
- Testing
- specific cervicograph
- Volunteers
- 135 people
- Sponsor
- University Hospital, Geneva
Chorioamnionitis
Treatment of Chorioamnionitis After Delivery
Chorioamnionitis occurs in 1% to 5% of term pregnancies and may complicate up to 25% of cases of preterm labor. The traditional regimen used to treat intra-amniotic infection is intravenous ampicillin 2g every 6 hours and…
- Trial name
- NCT00814905
- Testing
- saline, ampicillin gentamicin, Ampicillin gentamicin clindamycin
- Where
- United States
- Volunteers
- healthy volunteers welcome
- Sponsor
- United States Naval Medical Center, Portsmouth
Cesarean
Impact of Doula Support on Childbirth Outcomes for Women Undergoing a Vaginal Birth After Cesarean (VBAC)
The purpose of this study is to evaluate the impact of doula support on childbirth outcomes of women who are eligible for and attempting to have a Vaginal Birth After Cesarean (VBAC).
- Trial name
- NCT01216098
- Testing
- Doula support
- Where
- Canada
- Volunteers
- 82 people, healthy volunteers welcome
- Sponsor
- University of British Columbia