Prediction of Preterm delivery by the Electrohysterogram

ISRCTN ISRCTN07603227
DOI https://doi.org/10.1186/ISRCTN07603227
Secondary identifying numbers 10620
Submission date
05/12/2011
Registration date
31/07/2012
Last edited
24/02/2015
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

Background and study aims
The electrohysterogram (EHG) is a new way of measuring contractions of the uterus. In this study the EHG will be used to monitor patients with premature contractions. The aim is to investigate whether the EHG can predict when delivery will occur.

Who can participate?
You can participate if you are admitted the hospital for imminent premature delivery between 24 and 34 weeks of gestation.

What does the study involve?
Besides the usual tests, you will have an additional test: the electrohysterogram (EHG). This means a measurement using a patch that is connected to the skin of your abdomen. The result will only be used for research and not for your treatment.

What are the possible benefits and risks of participating?
The measurement is not dangerous for you or your baby and has no side effects.

Where is the study run from?
The study will be run from the Maxima Medical Center in Veldhoven but four other hospitals in the Netherlands will participate as well.

When is the study starting and how long is it expected to run for?
The study started in March 2012 and will end in June 2014.

Who is funding the study?
This research is paid for by the Maxima Medical Center Veldhoven.

Who is the main contact?
Hinke de Lau
h.delau@mmc.nl

Contact information

Mr Hinke Lau
Scientific

Tannhauserdreef 272
Utrecht
3561HR
Netherlands

Study information

Study designObservational multicenter cross-sectional cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titlePrediction of Preterm delivery by the Electrohysterogram: an observational cohort study
Study acronymPoPE
Study objectivesThe electrohysterogram is better predictor of preterm delivery than current diagnostics.

On 30/01/2014 the overall trial end date was changed from 01/02/2013 to 01/06/2014.
Ethics approval(s)Medical Ethical Committee, Maxima Medical Center Veldhoven, 06/12/2011
Health condition(s) or problem(s) studiedPreterm delivery, threatening preterm labor
InterventionElectrohysterogram: power spectral density peak frequency, conduction velocity

Current diagnostics: digital examination, cervical length, fetal fibronectin

All diagnostics will be performed at admission: a 4-channel electrohysterogram recording of 30 minutes using a fixed electrode configuration, a digital examination, transvaginal cervical length measurement and fetal fibronectin testing. Electrohysterogram information will be blinded to the attending physician, analysis will be done afterwards. The peak frequency of the power density spectrum (by Fourier Transform) will be identified. For conduction velocity the corresponding action potentials will be visually identified in the different channels. The velocity (vector) will be calculated from these intervals from which the speed (scalar) will be used as conduction velocity.

Two cohorts will formed based on delivery within or after 7 days after measurement.
Intervention typeOther
Primary outcome measureSensitivity, specificity, positive and negative predicting value for predicting preterm delivery within 7 days from measurement
Secondary outcome measuresArea Under the Curve of the Receiver Operating Characteristic (ROC) curve for predicting preterm delivery within 7 days from measurement
Overall study start date01/02/2012
Completion date01/06/2014

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants100
Key inclusion criteria1. Patients admitted for threatened preterm labor
2. Gestational age between 23+5 and 34+0 weeks
3. Clinically evaluated symptoms of preterm labor: at least 6 contractions in 60 minutes based on the (cardio) tocogram and/or maternal perception
Key exclusion criteriaPatients in active labor: cervical dilatation ≥3cm
Date of first enrolment01/02/2012
Date of final enrolment01/06/2014

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Tannhauserdreef 272
Utrecht
3561HR
Netherlands

Sponsor information

Maxima Medical Center (Netherlands)
Hospital/treatment centre

de Run 4600
Veldhoven
5404 DB
Netherlands

Phone 040 888 8384
Email h.delau@gmail.com
ROR logo "ROR" https://ror.org/02x6rcb77

Funders

Funder type

Hospital/treatment centre

Maxima Medical Center (Netherlands)

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

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 05/06/2014 Yes No