Softcervix: Biomechanics Based Prediction of Preterm Delivery
Study Details
Study Description
Brief Summary
Quantitative information on the biomechanical properties of the ecto-cervix in mid-pregnancy will be compared between women with term vs. preterm delivery. We aim to demonstrate that biomechanical data (ASP and CCI) might complement morphological data (CL) to improve prediction of preterm delivery. It is expected that women with preterm delivery will show stronger weakening of cervical tissue. Aspiration (ASP) and cervical CCI (cervical consistency index) measurements are performed at mid-pregnancy: detection at this time point is useful for therapy and biomechanical modifications are already significant so to enable differentiation by biomechanical measurements (ASP and CCI).
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Pregnancy
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Device: Pregnolia System
No intervention is done except for measuring the stiffness of the cervix in pregnant women
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Outcome Measures
Primary Outcome Measures
- Difference in cervical stiffness in women with/without preterm delivery [Measurements between 18+0/7 and 22+0/7 weeks of pregnancy and postpartum]
The biomechanical measurements and morphological data obtained at mid-pregnancy are compared between women with/without preterm delivery and are expected to significantly differ. The diagnostic power for preterm delivery of aspiration, CCI and the other factors will be determined.
Eligibility Criteria
Criteria
Inclusion Criteria:
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All pregnant women presenting at their mid pregnancy consultation (18+0 - 22+0 weeks of pregnancy) are eligible
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Signed informed consent after being informed is a prerequisite for enrollment.
Exclusion Criteria:
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Communication problems
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Missing consent
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Age<18
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Active bleeding / Premature Rupture of Membranes (PROM)
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Active genital infection
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Known carrier of HIV or Hepatitis B or C
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Placenta praevia
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Müllerian anomalies
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known or suspected non-compliance, drug or alcohol abuse
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cerclage
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use of pessary
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University Hospital of Leuven | Leuven | Belgium | 3000 | |
2 | Kantonsspital Aarau, Frauenklinik | Aarau | Switzerland | ||
3 | Kantonsspital Baden, Frauenklinik | Baden | Switzerland | ||
4 | Universitätsspital Basel, Frauenklinik | Basel | Switzerland | ||
5 | Kantonsspital Frauenfeld, Frauenklinik | Frauenfeld | Switzerland | ||
6 | Hôpitaux universitaires de Genève (HUG) | Genève | Switzerland | ||
7 | Kantonsspital Luzern, Frauenklinik | Luzern | Switzerland | ||
8 | Kantonsspital Münsterlingen | Münsterlingen | Switzerland | ||
9 | Kantonsspital St. Gallen, Klinik für Gynäkologie und Geburtshilfe | St. Gallen | Switzerland | ||
10 | Kantonsspital Winterthur | Winterthur | Switzerland | ||
11 | Praxis Zollikon | Zollikon | Switzerland | ||
12 | University Hospital of Zurich, Dept. OB/Gyn | Zurich | Switzerland | 8091 | |
13 | Stadtspital Triemli, Frauenklinik | Zurich | Switzerland |
Sponsors and Collaborators
- David Scheiner
- Universitaire Ziekenhuizen Leuven
- Swiss Federal Institute of Technology
Investigators
- Principal Investigator: David A Scheiner, MD, University of Zurich
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- KEK-ZH 2013-0244
- 2013-MD-0036