- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04744168
Acupuncture Effect on the Rate of Maturation in Post Term Pregnancies. (MATUPUNCTURE)
Brief Summary Short description of the protocol intended for the lay public. Include a brief statement of the study hypothesis. (Limit: 5000 characters)
Example: The purpose of this study is to determine whether prednisone, methotrexate, and cyclophosphamide are effective in the treatment of rapidly progressive hearing loss in both ears due to autoimmune inner ear disease (AIED). The first purpose of this randomized study is to determine if five points of acupuncture : 4GI, 6RP, 34VB, 36E, 3F could improve the bishop score for prolonged pregnancies and decrease the rate of maturation.
The protocol of our study consists of proposing to the pregnant women one or two acupuncture sessions the term's day and three days later. Once the consent is signed, women are randomly included in the experimental or placebo arm. In the experimental arm, midwives puncture five points : 4GI, 6 RP, 34VB, 36E, 3F on each side while in the placebo arm, they puncture just one point : 16 HM on each side.
The maturation's rate between the two groups will be compared by a Fisher's exact test and analyzed in function parity (nulliparous or multiparous) and number of sessions (one or two) with a model of univariate and multivariate logistic regression.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In maternity hospital center Corbeil-Essonnes, pregnant women have two monitoring consultations at term and three days later if they don't deliver between the two. At 41 weeks of amenorrhea and five days, women are convened in maternity for induction labour. Midwife determined Bishop's score with a vaginal exam to choose between a cervix's maturation (if bishop's score <5) or an induction of labour by oxytocin (if bishop's score>5).
The protocol of study consists of proposing to the pregnant women one or two acupuncture sessions the term's day and three days later. Once the consent is signed, women are randomly included in the experimental or placebo arm. In the experimental arm, midwives puncture five points : 4GI, 6 RP, 34VB, 36E, 3F on each side while in the placebo arm, they puncture just one point : 16 HM on each side.
At each consultation, the midwife collects the bishop's score to compare the average of it between the two arms and evaluate the rate of maturation.
The maturation's rate between the two groups will be compared by a Fisher's exact test and analyzed in function parity (nulliparous or multiparous) and number of sessions (one or two) with a model of univariate and multivariate logistic regression.
Finally, the average duration of induction labour will analyze, duration of labour and delivery route between the two arms.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Corbeil-essonnes Cedex, France, 91106
- Centre Hospitalier Sud Francilien
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Nulliparous or multipares with physiological pregnancy at 41 weeks
- Cephalic foetal presentation,
- Healthy or unicicatricial uterus,
- Major patientes,
- Speaking french,
- Term of the pregnancy determinated with a dating ultrasound between 11 weeks and 13 weeks+ 6 days,
- Having signed the form of consent participation.
Exclusion Criteria:
- Foetal or maternal diseases requiring a maturation before 41 weeks : pre eclampsia, pre-existing diabetes, imbalance gestational diabetes, threat premature delivery treat with tocolytic, macrosomia or intrauterine growth retardation,
- Diseases discoveries at 41 weeks : pre eclampsia, moves of the baby decrease, low amniotic fluid,anomalies of the foetal heartbeat
- Circled pregnancy,
- Twins or more,
- Foetal death in utero, medical termination of pregnancy,
- Unstuck membranes,
- Minor patients
- Patients who benefited acupuncture during pregnancy ,
- Imprecise term of delivery,
- Podalic presentation
- Patients under supervision or curatorship,
- Patients without social security.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Acupuncture
In the experimental arm, pregnant women at term will benefit one or two acupuncture sessions with five points : 4GI, 6RP, 34VB,36E,3F.
The first session at 41 amenorrhea weeks and the second at 41 amenorrhea weeks and 3 days if they are not delivered between the both.
|
Puncture of 5 points 4GI, 6RP, 34VB, 36E, 3F
|
Placebo Comparator: Placebo acupuncture
In the placebo arm, pregnant women will benefit one or two acupuncture sessions with one point which is located outside the acupuncture meridian. The first session at 41 amenorrhea weeks and the second at 41 amenorrhea weeks and 3 days if they are not delivered between the both. |
Puncture of point HM
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Bishop score
Time Frame: At 41 weeks of amenorrhea
|
cervix score is a pre-labor scoring system to assist in predicting whether induction of labor will be required (The highest possible score is 13 and the lowest possible score is 0)
|
At 41 weeks of amenorrhea
|
Bishop score
Time Frame: 3 days after the term of pregnancy
|
cervix score is a pre-labor scoring system to assist in predicting whether induction of labor will be required
|
3 days after the term of pregnancy
|
Bishop score
Time Frame: 5 days after the term of pregnancy
|
cervix score is a pre-labor scoring system to assist in predicting whether induction of labor will be required
|
5 days after the term of pregnancy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate spontaneous labour
Time Frame: At 41 weeks 5 days of amenorrhea
|
comparison of spontaneous labour's number in the two groups between 41 weeks of amenorrhea and 41 weeks of amenorrhea and five days.
|
At 41 weeks 5 days of amenorrhea
|
Duration labor
Time Frame: At 41 weeks 5 days of amenorrhea
|
comparison of average number of hours between entry into the delivery room and the delivery, in the two groups.
|
At 41 weeks 5 days of amenorrhea
|
Rate of delivery with medical intervention
Time Frame: At 41 weeks 5 days of amenorrhea
|
comparison medical intervention's number in the two groups.
|
At 41 weeks 5 days of amenorrhea
|
Rate of delivery by cesarean
Time Frame: At 41 weeks 5 days of amenorrhea
|
comparison cesarean's number in the two groups
|
At 41 weeks 5 days of amenorrhea
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IDRCB 2020-A03023-36
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Pregnancy Beyond 41 Week's Gestation
-
Aarhus University Hospital SkejbyRingkjøbing County Research Fond; Union of Midwives Research Fond; Skejby Research...CompletedPregnancy Overdue - Week 41+6
-
Meir Medical CenterClalit Health Services; Reidman collegeUnknownPost-term Pregnancy (40 to 42 Weeks Gestation)Israel
-
Monica Healthcare LtdCompletedPregnancy; Habitual Aborter | Weeks of Gestation 37 or MoreUnited States
-
University Hospital, MontpellierCompletedPregnant Women Less Than 14 Weeks of GestationFrance
-
University of PittsburghCompletedAnembryonic Pregnancy | Gestation Abnormality | Intrauterine Fetal Demise TermUnited States
-
Imperial College LondonNational Institute for Health Research, United KingdomCompletedParents of Preterm Infants Born Before 33 Weeks GestationUnited Kingdom
-
Assistance Publique - Hôpitaux de ParisInstitut National de la Santé Et de la Recherche Médicale, France; Institut... and other collaboratorsCompletedTerm and Preterm Neonates (24-41 Weeks Gestational Age) | Hematopoietic Stem Cell Transplant Recipient ChildrenFrance
-
Center For Maternal Fetal MedicineCompletedHigh Risk Pregnancy | Incompetent Cervix | Cerclage | Amniotic Fluid Sludge | Gestation Age at Delivery.United States
-
Natera, Inc.RecruitingPregnancy Complications | Twin to Twin Transfusion Syndrome | Multiple Gestation; Maternal CareUnited States
-
Centre Hospitalier Universitaire DijonRecruitingExtremely Premature Newborn (Born Before 32 Weeks' Gestation)France
Clinical Trials on Acupuncture
-
Federal University of São PauloCompleted
-
University of ZurichCharite University, Berlin, Germany; First Teaching Hospital of Tianjin University...CompletedExperimental Dental PainSwitzerland
-
University of SkövdeCompleted
-
National Research Centre of Complementary and Alternative...Norwegian Acupuncture CollegeUnknown
-
Chengdu University of Traditional Chinese MedicineChongqing Medical University; Hunan University of Traditional Chinese MedicineCompletedFunctional Dyspepsia | Postprandial Distress SyndromeChina
-
Chang Gung Memorial HospitalRecruitingIntracranial HemorrhagesTaiwan
-
University of MichiganMassachusetts General Hospital; National Center for Complementary and Integrative...Completed
-
University Medicine GreifswaldRecruitingGagging During Transesophageal EchocardiographyGermany
-
Huazhong University of Science and TechnologyThe University of Hong Kong; Heilongjiang University of Chinese Medicine; Hubei...CompletedPolycystic Ovary SyndromeChina
-
China Medical University HospitalNot yet recruiting