Clinical Trial: Birth Rate in Conservative Monitoring of Pregnancy Beyond the Date of Birth.

Study Status: Not yet recruiting
Recruit Status: Not yet recruiting
Study Type: Observational

Official Title: Birth Rate in Conservative Monitoring of Pregnancy Beyond the Date of Birth.

Brief Summary:

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.


Detailed Summary: 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.
Sponsor: Tel-Aviv Sourasky Medical Center

Current Primary Outcome: Time interval between measurement of cervical length and delivery [ Time Frame: 2 weeks. ]

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.


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Delivery with in 48 hours [ Time Frame: 48 hours ]
  • Delivery with in 7 days [ Time Frame: 7 days ]
  • Necessity of labor induction duo to post date [ Time Frame: 2 weeks ]
    yes or no. documenting what kind of induction performed.


Original Secondary Outcome: Same as current

Information By: Tel-Aviv Sourasky Medical Center

Dates:
Date Received: January 21, 2016
Date Started: February 2016
Date Completion: January 2018
Last Updated: February 8, 2016
Last Verified: February 2016