Randomized Control Trial of Second Stage of Labor

Completed · Not applicable

Conditions studied: Labor Complications

In brief

The hypothesis of this study is that extending the second stage of labor beyond current American College of Obstetricians and Gynecologists suggestions can reduce the cesarean delivery rate. The cesarean delivery rate in the United States is around 30 percent. This is a number that continues to be increasing over the last few decades and will continue to climb. Each subsequent cesarean section puts the mother and baby at increased risk for postpartum hemorrhage, bowel and bladder injury, abnormal placentation, febrile morbidity and death. The most common reason for a cesarean delivery is a repeat cesarean delivery. One way to reduce this number is to prevent the first cesarean delivery. The aim of this study is evaluate if extending the second stage of labor affects the cesarean delivery rate and subsequent perinatal morbidity.

Key facts

Study ID

NCT02101515

Run by

Thomas Jefferson University

People needed

78

Starts

2014-03-01

Expected to finish

2015-07-01

Last updated by the study team

2018-10-26

Who can join

Age: 18 and older. Sex: female. Healthy volunteers: accepted.

You may qualify if…

• Nulliparous women
• singleton pregnancies
• cephalic presentation
• 36.0-41.6 weeks
• age 18 and older

You may not qualify if…

• Category 3 fetal heart tracing
• major congenital anomalies
• multiples
• planned cesarean delivery
• intrauterine fetal demise
• Trial of labor after cesarean

Where it is running

• Thomas Jefferson University Hosptial — Philadelphia, Pennsylvania, United States

Full record on ClinicalTrials.gov

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