Short-Term Tocolysis in Preterm Labor
Prognostic Factors Affecting the Success of Short-Term Tocolysis in Preterm Labor
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
All participants will receive short-term tocolytic therapy according to the unit protocol.
- The choice of tocolytic agent (., Magnesium sulphate ) will be determined by the treating physician.
- Tocolysis will be administered for a maximum duration of 48-72 hours.
- Antenatal corticosteroids (Betamethasone amp 12mg once daily for 2days) will be administered to eligible participants to enhance fetal lung maturity.
- Failure documented when there is efficient uterine contractions more 4/10mins each one lasts more than 40 seconds, and there was progressive cervical dilatation more 3cm
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Mohamed Hussein Abdelatif Teleb Hussein Abdelatif Teleb, resident
- Phone Number: 01022475295
- Email: mohamedhussein199819@gmail.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
All participants will receive short-term tocolytic therapy according to the unit protocol.
- The choice of tocolytic agent (., Magnesium sulphate ) will be determined by the treating physician.
- Tocolysis will be administered for a maximum duration of 48-72 hours.
- Antenatal corticosteroids (Betamethasone amp 12mg once daily for 2days) will be administered to eligible participants to enhance fetal lung maturity.
- Failure documented when there is efficient uterine contractions more 4/10mins each one lasts more than 40 seconds, and there was progressive cervical dilatation more 3cm
Description
Inclusion Criteria:
- Age from 18 to 45 years old.
- Singleton Pregnancy
- Gestational age between 24 and 34 weeks, confirmed by last menstrual period and/or first-trimester ultrasound.
- Diagnosis of preterm labor, defined as Regular uterine contractions (≥4 in 20 minutes recorded in CTG) with a documented change in cervical dilation (e.g., from<1 cm to ≥2 cm) or, in nulliparous women, a dilation of ≥2 cm
- Intact membranes at the time of presentation.
Exclusion Criteria:
Established preterm labor (efficient uterine contractions 4/10mins each one lasts more than 40 Seconds recorded in CTG, with cervical changes (dilatation>4cm, effacement>80%)).
- Evidence of chorioamnionitis or intrauterine infection.
- Preterm premature rupture of membranes (PPROM).
- Maternal medical disorders contraindicating tocolysis, such as severe preeclampsia, significant cardiac disease, or uncontrolled diabetes mellitus.
- Contraindications to continuation of pregnancy, including placental abruption or placenta previa with bleeding.
- Vaginal bleeding of unknown origin" as a specific exclusion criterion, as it may indicate abruption or other pathologies.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Successful short-term tocolysis, defined as postponement of delivery for at least 48 hours after initiation of tocolytic therapy
Time Frame: 48 hours
|
48 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Soh-Med-26-6-26MS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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