Latent Phase Membrane Stripping for Caesarean Section Reduction

Launched by RICARDO A GUTIERREZ RAMIREZ, MD, MSC, FACOG · Jan 30, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at a method called membrane stripping to see if it can help reduce the number of cesarean sections during childbirth. Cesarean sections are surgeries to deliver a baby, and in some places, they happen quite often, leading to risks for mothers and babies. The researchers hope that by using a specific technique during the early stages of labor, they can make it easier for women to have vaginal births instead of cesarean deliveries.

To participate in the study, women must be at least 37 weeks pregnant with one baby and have a Bishop's score of more than 7, which indicates that their body is ready for labor. Participants also need to be first-time mothers and cannot have certain health issues or previous surgeries that might complicate vaginal delivery. Those who join the study will be asked to follow specific procedures and stay available for the duration of the trial. This research is important because it aims to improve the safety and outcomes of childbirth for mothers and their babies.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Submission of a signed and dated informed consent form.
• • Declared willingness to comply with all study procedures and availability for the duration of the study.
• • nulliparous
• • woman with singleton pregnancy at 37 weeks or more
• • integral membranes
• • cephalic presentation
• • Bishop's score greater than 7
• • No contraindication for vaginal delivery
• Exclusion Criteria:
• • Previous uterine surgery
• • Maternal condition preventing vaginal delivery
• • Fetal anomaly
• • Premature rupture of membranes
• • Multiple pregnancy
• • Fetal orbit
• • Myomas
• • Maternal comorbidities such as chronic arterial hypertension, type 1, 2 and gestational diabetes, hypothyroidism, among others.
• • Anemia