Home » Trials » SLCTR/2014/001


Comparison of cervical massage with membrane sweeping for pre-induction cervical ripening at term- A Randomized Controlled Trial

-

SLCTR Registration Number

SLCTR/2014/001


Date of Registration

09 Jan 2014

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

Comparison of cervical massage with membrane sweeping for pre-induction cervical ripening at term- A Randomized Controlled Trial


Public Title of Trial

A study to compare two methods of inducing labour in full term pregnancy


Disease or Health Condition(s) Studied

Induction of labour


Scientific Acronym

none


Public Acronym

none


Brief title

none


Universal Trial Number

U1111-1147-7049


Any other number(s) assigned to the trial and issuing authority

None


Trial Details


What is the research question being addressed?

What is the effectiveness acceptability and maternal satisfaction of membrane sweeping compared to cervical massage for pre-induction cervical ripening at term?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Single blinded


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Not Applicable


Intervention(s) planned

This study will be conducted at Unit B, Teaching Hospital Mahamodara, Galle.

Block randomization (primigravida, multigravida) will be used to allocate participants into 3 arms: Arm I (cervical massage), Arm II (membrane sweeping), and Arm III (control). Participants (period of gestation 40+4 days) will undergo vaginal examination by the first investigator. Arm I will receive cervical massage, Arm II will receive membrane sweeping while Arm III will undergo vaginal examination only. Participants found to have a Modified Bishop’s Score (MBS) >4 will be excluded from the study

Participants will be re-examined at period of gestation 40+6 days by a second investigator, who will be blind to the intervention. MBS will be determined and further intervention will be decided based on standard protocols.

Participants in Arm II who have a MBS of < 4 and where membrane sweeping is not possible due to a closed cervix and cannot admit finger, will be offered cervical massage. This group will be analyzed separately. Aseptic techniques will be adhered to during all procedures. Fetal well being will be monitored by daily cadiotocography, fetal movement charts and fetal heart sound monitoring three times a day by trained midwives.


Inclusion criteria

  1. Women with singleton uncomplicated pregnancy
  2. 40 weeks of gestation with reliable pregnancy dating by ultrasound scan
  3. Cephalic presentation
  4. Unfavourable cervix (MBS<4)
  5. Aged 18 years and above
  6. No contraindication to vaginal delivery .

Exclusion criteria

  1. Any medical complications (e.g. Pregnancy Induced Hypertension, Gestational Diabetes Mellitus)
  2. Planned caesarean section
  3. Fetal Growth Restriction
  4. Past caesarian section
  5. Fetal anomalies
  6. Polyhydroamniosis or oligohydroamniosis


Primary outcome(s)

1.

Change in modified bishops score (MBS)

[

At 40 week+6days of gestation .

]

Secondary outcome(s)

1.
  1. Maternal pyrexia
  2. Neonatal pyrexia
  3. Prelabour rupture of membranes
  4. Mode of delivery - whether successful vaginal delivery, instrumental vaginal delivery or caesarean delivery
  5. Percentage of spontaneous onset of labour (SOL) in women  in all three groups.
    
  6. Percentage of women who required the vaginal PGE2 a
    
[

1.First ten days post partum 2.Until discharge 3. Till spontaneous onset of labour 4. Delivery 5.Between 40 week + 4 days to 40 week+6 days 6. At 40 weeks and 6 days

]

Target number/sample size

A sample size of 165 women (55 in each of the treatments and placebo groups) will be sufficient to detect a clinically important difference of 25% between groups


Countries of recruitment

Sri Lanka


Anticipated start date

2014-01-12


Anticipated end date

2014-10-01


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

None


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2013-09-16


Approval number

Not available


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Ruhuna
Institutional Address:PO Box 70, Labuduwa Rd, Galle, Sri Lanka
Telephone:+94-91-2234801/803 (Extension: 161)
Email: ethics@med.ruh.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

DR.S.S.Yaddehige
Registar gynaecology and Obstetrics(medical officer)
Teaching Hospital Mahamodara,Galle,Srilanka.
0912222261
0718010277
0912222262
samanthayaddehige@yahoo.com

Contact Person for Public Queries

Dr.H.D.Kalansooriya
consultant obstetrician and gynaecologist
Teaching Hospital Mahamodara,Galle,Srilanka.

0777747088



Primary study sponsor/organization

Teaching Hospital Mahamodara ,Galle





Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results