ISRCTN ISRCTN14898678
DOI https://doi.org/10.1186/ISRCTN14898678
Protocol serial number 6895
Sponsor Poole Hospital NHS Foundation Trust (UK)
Funder National Institute for Health Research (NIHR) (UK) - Research for Patient Benefit (RfPB) Programme
Submission date
12/05/2010
Registration date
12/05/2010
Last edited
17/04/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Miss Dawn Jackson
Scientific

Poole Hospital NHS Foundation Trust
St Mary's Maternity Hospital
Poole
BH15 2JB
United Kingdom

Study information

Primary study designObservational
Study designMulticentre randomised process of care cohort study
Secondary study designCohort study
Study type Participant information sheet
Scientific titleA two centre randomised controlled trial comparing intramuscular diamorphine and intramuscular pethidine for labour analgesia
Study acronymIDvIP
Study objectivesStudy objectives:
To evaluate the maternal and neonatal efficacy and safety of intramuscular diamorphine 7.5 mg versus intramuscular pethidine 150 mg for labour pain.

Evaluation of study:
An intention to treat analysis will be used. Results will be presented with 95% confidence intervals whenever possible and will be reported using CONSORT guidelines.

Duration of study period: 3 years
Ethics approval(s)Southampton and SW Hampshire REC (B) approved on the 2nd March 2007 (ref: 07/Q1704/6)
Health condition(s) or problem(s) studiedTopic: Reproductive Health and Childb, Generic Health Relevance and Cross Cutting Themes, Primary Care Research Network for England; Subtopic: Not Assigned, Reproductive Health and Childb (all Subtopics), Generic Health Relevance (all Subtopics); Disease:
InterventionStudy Medicinal Products: 7.5 mg diamorphine and 150 mg pethidine up to a maximum of two doses with a minimal interval of 2 hours between doses. Total duration of treatment and follow-up will be the duration of the women’s labour plus 24 hours after birth.

As of 10/01/2011 this record was updated to include an extended anticipated end date; the initial anticipated end date was 01/05/2010.
Intervention typeDrug
PhasePhase IV
Drug / device / biological / vaccine name(s)Pethidine, diamorphine
Primary outcome measure(s)

1. Change in pain intensity over 3 hours (AUC)
2. Side effects:
2.1. Need for neonatal resuscitation
2.2. Apgar score less than 7 at 1 minute

Key secondary outcome measure(s)

1. Pain relief
2. Maternal sedation
3. Nausea and vomiting
4. CTG
5. Patient satisfaction
6. % choosing analgesia for next pregnancy
7. Meconium staining
8. UApH
9. UVpH
10. Apgar scores
11. Naloxone
12. Neonatal SpO2
13. Feeding behaviour

Completion date01/02/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target sample size at registration450
Key inclusion criteria1. Active labour with a singleton pregnancy
2. Regular uterine contractions of at least two in 10 minutes
3. Cervical dilatation of at least 3 cm
4. Foetal gestational age of 37 - 42 weeks
5. Minimum weight of 60 kg
6. Multiparous and nulliparous women
7. Spontaneously gone into labour or have had an amniotomy and intravenous oxytocin to induce labour
8. Aged 18 years and over
Key exclusion criteria1. Allergy or previous severe reaction to opioid analgesia
2. Opioid dependency
3. History of foetal compromise
4. Maternal cardiorespiratory compromise
5. American Society of Anaesthesiologists (ASA) grade 3 and 4
6. Maternal weight greater than 120 kg
Date of first enrolment01/11/2008
Date of final enrolment01/02/2012

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Poole Hospital NHS Foundation Trust
Poole
BH15 2JB
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/03/2014 Yes No
Protocol article protocol 08/07/2011 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes