Costs and effects of amniotomy at home for induction of post-term pregnancy

ISRCTN ISRCTN47736435
DOI https://doi.org/10.1186/ISRCTN47736435
Secondary identifying numbers NTR504
Submission date
09/01/2006
Registration date
09/01/2006
Last edited
13/06/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr M.E.B. Rijnders
Scientific

TNO Quality of life
P.O. Box 2215
Leiden
2301 CE
Netherlands

Phone +31 (0)71 5181889

Study information

Study designMulticentre randomised active-controlled parallel-group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleCosts and effects of amniotomy at home for induction of post-term pregnancy in low-risk women: a pragmatic randomised controlled trial
Study acronymSERINAM
Study objectivesWe hypothesise that in low-risk women amniotomy at home for post-term pregnancy will result in more spontaneous birth (defined as labour and birth without any obstetric intervention but amniotomy) resulting in lower costs during birth.
Ethics approval(s)Received from the local medical ethics committee
Health condition(s) or problem(s) studiedPregnancy, post-term pregnancy
InterventionIf referral for post-term pregnancy is planned within the next 24 hours, randomisation takes place:
1. The intervention group will receive amniotomy at home and expectant management of labour for 12 hours
2. The control group will be referred to an obstetrician at 294 days and receives usual standard care
Intervention typeOther
Primary outcome measure1. Percentage of women that will deliver without obstetric interventions besides amniotomy
2. Data of pregnancy outcome, performed management and obstetric interventions are obtained from midwives and obstetricians with a CRF designed for this study
3. Data regarding patient expectations of birth and birth management are obtained from participating women by questionnaire. This will take place in pregnancy between 292-294 days but before randomisation.
4. Data about patient satisfaction and patient costs are obtained by questionnaire within 1 month postpartum
Secondary outcome measures1. Proportion caesarean section and admission to the neonatal intensive care unit (NICU)
2. Other obstetric interventions on maternal or foetal indication, pain relief, maternal and foetal morbidity, medical and patient costs, patient satisfaction
Overall study start date01/10/2004
Completion date01/10/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants500
Key inclusion criteria1. Informed consent
2. Women with a single foetus in cephalic position
3. Pregnancy of 292 days or more
4. Receiving prenatal care from a midwife in a freestanding midwifery practice
Key exclusion criteria1. A history of neonatal infection
2. A history of endometritis
3. A history of stillbirth
4. A positive GBS culture
5. A suboptimal foetal condition
6. Contractions
7. Rupture of membranes
8. Communication problems
Date of first enrolment01/10/2004
Date of final enrolment01/10/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

TNO Quality of life
Leiden
2301 CE
Netherlands

Sponsor information

Midwifery Academy Amsterdam (The Netherlands)
Not defined

Louwesweg 6
Amsterdam
1066 EC
Netherlands

Phone +31 (0)20 5124231
Email kvjry@slz.nl
ROR logo "ROR" https://ror.org/02nt7ap43

Funders

Funder type

Not defined

Not provided at time of registration

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan