Two Previous Cesarean and Vaginal Birth Before and After Starting Training and Protocols

Recruiting now

Conditions studied: Cesarean Delivery Affecting Fetus or Newborn, Labor (Obstetrics)--Complications, Hemorrhagic Complications

In brief

In 2015 ObGyn Dept of Santo Spirito Hospital in Pescara (Italy) started protocol for previous CS vaginal birth. In 2021 was started a protocol for training on obstetric emergencies and protocol on two previous cesarean was endorsed. Patients attending birth in Pescara with two previous from january 2016 to December 2020, and from january 2021 to december 2025 were collected. A different counseling approach was adopted from 2021. Women's acceptance of trial of labor and maternal and fetal outcomes were collected.

Key facts

Study ID

NCT07258459

Run by

G. d'Annunzio University

People needed

2016

Starts

2016-01-01

Expected to finish

2026-01-01

Last updated by the study team

2025-12-02

Who can join

Age: 18 and older. Sex: female. Healthy volunteers: not accepted.

You may qualify if…

• pregnant women
• pregnancy above 34 weeks' gestation
• cephalic presentation of the fetus
• singleton and twins
• diamniotic twins
• 2 previous CS
• more than 18 months from last CS
• no other indication to CS

You may not qualify if…

• pregnancy below 34 weeks' gestation
• breech baby
• triplets or high order multiple pregnancies
• more than 2 previous CS
• less than 18 months from last CS
• precence of other indications to CS (i.e. maternal diseases, placenta previa, etc.)

Where it is running

• Claudio Celentano — Pescara, PE, Italy (enrolling)
• Santo Spirito Hospital — Pescara, PE, Italy (enrolling)

Full record on ClinicalTrials.gov

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