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CUHK_CCT00384
2013-12-23
Prospective
CRE-2013.442
The Chinese University of Hong Kong
The Chinese University of Hong Kong
N/A
Chor Chung Ming
1EF, Department of Obstetrics and Gynaecology, Special Block, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong SAR
2632 3190
cmchor@cuhk.edu.hk
The Chinese University of Hong Kong
Chor Chung Ming
1EF, Department of Obstetrics and Gynaecology, Special Block, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong SAR
2632 3190
cmchor@cuhk.edu.hk
The Chinese University of Hong Kong
Determination of labor progression patterns using non-invasive, ultrasound based, multiple parameters in low risk Chinese population
Non-invasive ultrasound based method to determine normal curves of labor progression
以超聲波及定位系統監察生產過程之研究
Nil
Hong Kong SAR, China
Yes
2013-10-25
Labor Progress
Device
Labor pro is a FDA approved system that is developed by an Israel Company, TrigMed, which use magnetic position tracker and ultarasound technology to determine the level and orientation of fetal head.[Nizard 2004]. It has been demonstrated by different studies [Haberman 2011] that it is more robust in determination of the level (station) and orientation (position) of fetal head during labour. The accuracy of vaginal examination to determine cervical dilatation was also increased using its magnetic position tracker.[Haberman 2011].
Less than 12 hours, actual duration depends on the length of the labor progress
Digital vaginal examination
1. Nulliparous women
2. At Least 37+0 weeks
3. Spontaneous onset of labour
4. Patient with regular uterine contraction >= 2 in 10 minutes
5. Cervix >=3cm dilated
1. Risk factors of cephalopelvic disproportion
i. Gestation at 41 weeks or beyond OR
ii. Cervix dilating <= 1cm per hour in past 2 hours according to vaginal examination after entering active phase OR
iii. Baby in occipital posterior position as suggested by vaginal examination OR
iv. Most recent antenatal ultrasound scan suggestive of Big Baby (EFW >=4.0kg OR AC >=+2SD OR BPD >+2SD OR HC >+2SD). OR
v. Maternal short stature (Maternal height<150cm) OR
2. Fetal Malformation
3. Fetal Growth Restriction
i. Any USG evidence of small for gestation fetus in recent 2 weeks
4. Pelvic Surgery
5. Still Birth
18
50
Female
Observational
Not Applicable
Not Applicable
Open label
Not Applicable
2014-01-01
200
Unknown
Station, Position
Birth Weight, Mode of Delivery, Cervical dilatation
2015-01-24
ChiCTR-DDT-13004031
Yes
Nil
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