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Giving birth after cesarean section: how many trials and how much labour?


- candidate number21907
- NTR NumberNTR5159
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR2-apr-2015
- Secondary IDs5-N-53 METC Atrium-Orbis-Zuyd
- Public TitleGiving birth after cesarean section: how many trials and how much labour?
- Scientific TitleDelivery after cesarean section: a retrospective study in Dutch hospital setting
- ACRONYM
- hypothesisCertain patient-specific factors contribute significantly to the outcome of delivery after a cesarean section in a Dutch hospital setting. These factors influence the decision to initiate trial of labour (TOL) or plan for an elective repeat cesarean section (ERCS) at the presentation of a next pregnancy. Women with a previous complicated pregnancy and/or a traumatic obstetric history will often opt for an elective cesarean rather than TOL, and in case of TOL, they will experience more secondary cesareans and poor neonatal outcomes compared to women with a positive obstetric history. Elder women above the age of 39 will choose an elective cesarean more often than young mothers. Women with a high prognostic chance for a vaginal delivery will undergo more TOL.
- Healt Condition(s) or Problem(s) studiedCaesarean section, Vaginally birth, Prognostic models, Labour, Therapy
- Inclusion criteriaWomen of all ages with a history of a cesarean section who gave birth at the Orbis Medical Centre in Sittard, The Netherlands in the past five years following an uncomplicated second pregnancy.
- Exclusion criteria-incomplete or ambiguous patient files
-history of more than 1 cesarean section
-hospital presentation a term of 37 weeks in the second pregnancy
-patients who do not speak Dutch
-twin pregnancies
-breech presentation in the second pregnancy
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupFactorial
- Type2 or more arms, non-randomized
- Studytypeobservational
- planned startdate 2-mrt-2015
- planned closingdate3-jul-2015
- Target number of participants300
- Interventionsretrospective observational study
- Primary outcomedelivery outcomes:
-normal vaginal delivery
-assisted vaginal delivery
-elective cesarean section
-secondary cesarean section
-neonatal outcome
- Secondary outcome-success percentage at vaginal birth
-delivery complications
- Timepoints-
- Trial web site
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Grace Bambe
- CONTACT for SCIENTIFIC QUERIESDr. Robert Aardenburg
- Sponsor/Initiator Atrium-Orbis Medisch Centrum
- Funding
(Source(s) of Monetary or Material Support)
- Publications-
- Brief summaryRetrospective study of delivery after a cesarean section in a Dutch hospital setting. By evaluating delivery outcomes in this population, patient-specific factors can be identified that can aid the gynecologist in counseling women with a history of a cesarean section.
- Main changes (audit trail)
- RECORD2-apr-2015 - 31-mei-2015


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