Clinical Trial: The REDUCED Trial: REDucing the Utilization of CEsarean Sections for Dystocia
Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional
Official Title: The REDUCED Trial: REDucing the Utilization of CEsarean Sections for Dystocia
Brief Summary: This project is a clustered randomized controlled trial of a knowledge translation intervention of new ACOG guidelines for the diagnosis of poor progress in labor. The intent is to reduce the rate of cesarean section (CS) in first time mothers without increasing maternal or neonatal morbidity. The guidelines were developed from data from the Consortium for Safe Labor. The unit of randomization will be sites in Alberta that deliver
Detailed Summary:
Sponsor: University of Calgary
Current Primary Outcome: Rate of Cesarean section in primiparous women in labor. [ Time Frame: at delivery ]
Original Primary Outcome: Same as current
Current Secondary Outcome:
- Perinatal death [ Time Frame: at delivery ]
- Neonatal intensive care unit (NICU) admission with arterial blood gasses pH < 7 and base excess >=12 or NICU admission with Apgar at 5 minutes < 7 [ Time Frame: at delivery ]
- moderate or severe asphyxia or meets criteria for therapeutic cooling [ Time Frame: at delivery ]
- Neonatal sepsis or suspected sepsis [ Time Frame: at delivery ]
- Post partum hemorrhage/blood transfusion [ Time Frame: at delivery ]
Original Secondary Outcome: Same as current
Information By: University of Calgary
Dates:
Date Received: August 17, 2016
Date Started: October 2016
Date Completion: October 2020
Last Updated: April 4, 2017
Last Verified: April 2017
