Informations générales (source: ClinicalTrials.gov)
Trial of Prophylactic Manual Rotation of Persistent Occiput Posterior Presentation During the Early Second Stage of Labor to Reduce Operative Delivery: a Prospective Multicenter Randomized Control Trial (PROPOP)
Interventional
N/A
Assistance Publique Hopitaux De Marseille (Voir sur ClinicalTrials)
décembre 2015
juin 2020
29 juin 2024
Superiority multicenter prospective randomized study on operative delivery (instrumental
delivery or caesarean section) of prophylactic manual rotation in case of persistent
occipital posterior presentation during the second stage of labor compared to expectant
management. A 15% reduction of operative delivery (instrumental delivery or caesarean
section) is attempt in the prophylactic manual rotation group.
Etablissements
Les établissements hors Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
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Assistance Publique Hopitaux de Marseille - 13354 - Marseille - France | Julie Blanc | Contact (sur clinicalTrials) |
Critères
Femme
Inclusion Criteria:
- Age ≥ 18 years
- Singleton pregnancy
- Term ≥ 37 weeks of gestation
- Early second stage of labor
- Rupture membranes
- Persistent occiput posterior position confirmed by ultrasound
- Epidural anesthesia
- Patient who agree to participate and sign consent form
- Age ≥ 18 years
- Singleton pregnancy
- Term ≥ 37 weeks of gestation
- Early second stage of labor
- Rupture membranes
- Persistent occiput posterior position confirmed by ultrasound
- Epidural anesthesia
- Patient who agree to participate and sign consent form
- Age < 18 years
- Term < 37 weeks of gestation
- Vaginal and instrumental Delivery maternal contraindication
- Antecedent of perineal injury type IV
- Sensitive perineum
- Crohn's disease with vaginal delivery contraindication
- Instrumental fetal contraindication
- Non reassuring fetal heart with impossibility of optimal maternal information
- Known fetal malformation
- Previous ceaserean section
- Non cephalic presentation
- Not affiliated to social security