Decision-Making in Labor Admission Using Transperineal Ultrasound vs. Vaginal Examination
Recruiting now · Not applicable
Conditions studied: Labor Active Dilated Cm
In brief
This clinical trial aims to determine whether transperineal ultrasound (a perineal external scan) can improve decision-making for hospital admission in term pregnant women in labor compared to traditional vaginal examination. Term pregnant women (\>37 weeks) presenting with contractions at the emergency department will be randomly assigned to undergo either a transperineal ultrasound or a vaginal examination upon arrival. The study will evaluate whether ultrasound-based assessment reduces the rate of labor inductions and decreases patient discomfort during the admission evaluation. All participants will receive standard clinical evaluation and follow-up according to the assigned method, report discomfort levels using a standardized scale, and have labor outcomes recorded - including induction, oxytocin use, time to delivery, and mode of delivery -, to determine whether ultrasound improves clinical decision-making and maternal comfort.
Key facts
- Study ID
- NCT07278271
- Run by
- Hospital Universitario La Paz
- People needed
- 170
- Starts
- 2024-01-29
- Expected to finish
- 2026-03-01
- Last updated by the study team
- 2025-12-12
Who can join
Age: 18 and older, up to 45. Sex: female. Healthy volunteers: not accepted.
You may qualify if…
- Women aged 18 to 45 years
- Singleton pregnancy
- Gestational age ≥ 37 weeks (term pregnancy)
- Spontaneous uterine contractions at the time of presentation to the emergency department
- Cephalic presentation
- Willingness and ability to provide written informed consent
You may not qualify if…
- Premature rupture of membranes (PROM)
- Multiple gestation
- Known high-risk pregnancy (e.g., preeclampsia, intrauterine growth restriction, insulin-dependent diabetes)
- Previous cesarean delivery
- Breech or other non-cephalic presentation
- Elective cesarean section planned or requested
- Refusal to undergo vaginal delivery
- Inability or unwillingness to comply with the study protocol
Where it is running
- Hospital Universitario La Paz — Madrid, Madrid, Spain (enrolling)
Full record on ClinicalTrials.gov
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