Sleep and Depression in Induction of Labour

NCT03380897 — Not applicable, Completed, 117 participants, Turku University Hospital

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Sleep Disturbances and Depression of the Mother Affect to the Pain During Balloon Catheter Induction of Labour

RegistryNCT03380897
StatusCompleted
PhaseNot applicable
Study typeInterventional; randomized, factorial, masking: none, health services research
Enrollment117 (Actual)
SponsorTurku University Hospital (Other gov); collaborators: University of Turku
ConditionsProlonged Pregnancy, Sleep Disturbance, Depression
InterventionsIntervention for outpatient group was to go home, Intervention for inpatient group was to stay at ward (Other)
Datesstart 2017-06-07, primary completion 2019-12-30, completion 2019-12-30, first posted 2017-12-21, last updated 2020-06-11
Locations1 site in Finland

Related Papers Related Patents Related Grants Related Experts
All trials for Prolonged Pregnancy All trials for Sleep Disturbance All trials of Intervention for outpatient group was to go home All trials of Intervention for inpatient group was to stay at ward

-Summary

Randomised trial comparing double balloon catheter for induction of labor between inpatient and outpatient groups. The investigators assess how sleep disturbances and depression of the mother affect to the pain during balloon catheter induction of labour.

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+Detailed description

Participants included to this randomised study are women with uncomplicated singleton pregnancy with ≥ 37- ≤ 41+5 weeks of gestation. Participants are randomised to two groups: one hundred are randomised to the inpatient and one hundred to the outpatient group.

The main outcome measure is the pain evaluated by VAS at one, five , nine and 13 hours after the placement of double balloon induction catheter. The investigators assess also the effect of the sleep disturbance and depression of the mother to the pain during balloon catheter induction of the labour.

The total hospital stay and induction to delivery interval time is measured. Also the mode of birth as well as maternal and neonatal morbidity and patient satisfaction are recorded.

+Arms and interventions

ArmTypeInterventionsDescription
Outpatient groupActive comparatorOther: Intervention for outpatient group was to go homeAfter insertion of induction catheter for labor, women of the outpatient group can go home and assess their pain with visual analogy scale at home. The intervention is to go home. Intervention for outpatient group was to go home.
Inpatient groupPlacebo comparatorOther: Intervention for inpatient group was to stay at wardAfter insertion of induction catheter for labor, women of the inpatient group assess their pain with visual analogy scale in the ward. The intervention is to stay at ward. Intervention for inpatient group was to stay at ward.
  • Intervention for outpatient group was to go home (Other), also known as Intervention was to assess the pain by visual analogy scale.: Intervention for outpatient group was to go home and assess the the pain
  • Intervention for inpatient group was to stay at ward (Other), also known as Intervention was to assess the pain by visual analogy scale.: Intervention for inpatient group was to stay at ward and assess the pain

+Outcome measures

Primary outcomes

  • The pain measured by VAS [one to 14 days after induction of the labor]: The pain measured by VAS after double balloon catheter insertion.

Secondary outcomes

  • The affect of the sleep disturbances of the mother to the pain assessed by VAS [one to 14 days after induction of the labor]: The affect of the sleep disturbances to the pain assessed by VAS
  • The effect of depression of the mother to the pain assessed by VAS [one to 14 days after induction of the labor]: The effect of depression of the mother to the pain assessed by VAS
  • The total hospital stay in both groups [one to 14 days after induction of the labor]: The total hospital stay in both groups
  • The maternal and neonatal morbidity after balloon catheter induction [one to 14 days after induction of the labor]: The maternal and neonatal morbidity after balloon catheter induction

+Eligibility

Sex: Female, ages: 18 Years to 45 Years, accepts healthy volunteers

Inclusion Criteria:

* uncomplicated pregnancy
* singleton pregnancy
* pregnancy weeks ≥ 37 - ≤ 41+5
* the patient is living in1/2 hour away from hospital

Exclusion Criteria:

* patient has a disease that is effecting to the pregnancy e.g. pre-eclampsia, gestational hepatosis
* the patient has medical treatment of diabetes
* baby is not growing normally
* multiple pregnancy
* preterm rupture of membranes
* earlier caesarean section
* the patient is living more than 1/2 hour away from hospital

+Locations (1)

FacilityCityCountryStatus
Turku University HospitalTurkuFinland

+Publications

  • Results publication: Henry A, Madan A, Reid R, Tracy SK, Austin K, Welsh A, Challis D. Outpatient Foley catheter versus inpatient prostaglandin E2 gel for induction of labour: a randomised trial. BMC Pregnancy Childbirth. 2013 Jan 29;13:25. doi: 10.1186/1471-2393-13-25. PMID 23356673
  • Results publication: Sciscione AC, Muench M, Pollock M, Jenkins TM, Tildon-Burton J, Colmorgen GH. Transcervical Foley catheter for preinduction cervical ripening in an outpatient versus inpatient setting. Obstet Gynecol. 2001 Nov;98(5 Pt 1):751-6. doi: 10.1016/s0029-7844(01)01579-4. PMID 11704164
  • Results publication: Prager M, Eneroth-Grimfors E, Edlund M, Marions L. A randomised controlled trial of intravaginal dinoprostone, intravaginal misoprostol and transcervical balloon catheter for labour induction. BJOG. 2008 Oct;115(11):1443-50. doi: 10.1111/j.1471-0528.2008.01843.x. Epub 2008 Aug 19. PMID 18715244

+Investigators

  • Kirsi M Rinne, PhD, Principal investigator, Turku University Hospital
  • Päivi ML Polo, PhD, Study director, Turku University Hospital