Birth Rate in Conservative Monitoring of Pregnancy Beyond the Date of Birth.

Pregnant Women beyond the date of birth. will be followed while coming to routine monitoring. physiological parameter of cervical length will be measured as the differential predictor to determine their due date. the cervical length will be measured as part of routine gynecologic examination to women who come for routine over due date follow up.

additional medical data will be collected from the patient medical record.- demographic data, and all the routine prenatal medical care the women will receive up to the delivery.and delivery outcomes.

Study Overview

• Status: Unknown
• Conditions: Pregnancy, Prolonged
• Intervention / Treatment: Other: Cervical length in pregnant women.

Detailed Description

The clinical part of the study: the first visit of pregnancy monitoring is carried out at 40 full weeks. First visit to make sure the gestational age to receive full medical anamnesis , perform physical examination and vaginal and NST and BPP. Also, assess the clinical weight and when the need arises assessment of weight sonography. monitoring fetal movements . The women are ordered to return for routine check ups every 3 days. from - 41 full weeks the women should come every two days and 42 weeks should be referred for induction. In practice, the women offered induction at 41 weeks + 3 or 4 days.

• Study Type: Observational
• Enrollment (Anticipated): 200

Contacts and Locations

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 50 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Non-Probability Sample

Study Population

Pregnant Women beyond the date of birth in conservative monitoring and prenatal follow-up.

Description

Inclusion Criteria:

1. Age 18-50 .
2. Individual fetus
3. The dating of gestational age based on first- trimester ultrasonography or by last menstrual
4. Gestational age between 39 weeks and 0 days to 41 weeks and 6 days .
5. The pregnant women is not in pain ( VAS <3 ) while signing on consent to participate.
6. Normal fetal monitoring measures and Sonar
7. Expectant mother is in active labor
8. Consent to participate

Exclusion Criteria:

1. Multi-pass Pregnancy
2. Without accurate dating of gestational age based on first- trimester ultrasonography or by last menstrual
3. Indicators for abnormal fetal monitoring and / or Sonar
4. Active labor
5. pain ( VAS > = 3 )
6. Expectant mother does not agree to participate or delivery if consent was given earlier

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

Cervical length in pregnant women.; Pregnant Women beyond the date of birth in conservative monitoring and prenatal follow-up. will be followed while coming to routine monitoring. physiological parameter of cervical length will be measured as the differential predictor to determine their due date.

Other: Cervical length in pregnant women.; Pregnant Women beyond the date of birth. will be followed while coming to routine monitoring. physiological parameter of cervical length will be measured as the differential predictor to determine their due date. the cervical length will be measured as part of routine gynecologic examination to women who come for routine over due date follow up. additional medical data will be collected from the patient medical record.- demographic data, and all the routine prenatal medical care the women will receive up to the delivery.and delivery out comes.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Time interval between measurement of cervical length and delivery	According to our local protocol post date surveillance is stated from 40+0 weeks of gestation. Each gravida undergoes vaginal examination using sonographic measurement of cervical length(in mm) using trans-vaginal sonar.	2 weeks.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Delivery with in 48 hours		48 hours
Delivery with in 7 days		7 days
Necessity of labor induction duo to post date	yes or no. documenting what kind of induction performed.	2 weeks

Collaborators and Investigators

• Sponsor: Tel-Aviv Sourasky Medical Center

Study record dates

Study Major Dates

• Study Start: February 1, 2016
• Primary Completion (Anticipated): January 1, 2018
• Study Completion (Anticipated): January 1, 2018

Study Registration Dates

• First Submitted: January 21, 2016
• First Submitted That Met QC Criteria: February 8, 2016
• First Posted (Estimate): February 11, 2016

Study Record Updates

• Last Update Posted (Estimate): February 11, 2016
• Last Update Submitted That Met QC Criteria: February 8, 2016
• Last Verified: February 1, 2016

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pregnancy Complications; Pregnancy, Prolonged
• Other Study ID Numbers: 0602-15

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No