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CTRI Number  CTRI/2024/02/063299 [Registered on: 29/02/2024] Trial Registered Prospectively
Last Modified On: 23/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare outcomes of spontaneous and induced labour after expected date of delivery. 
Scientific Title of Study   To compare maternal and fetal outcome in spontaneous labor and induced labor beyond 40 weeks of gestation. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Meenakshi Thakur 
Designation  Junior Resident 
Affiliation  Dr Rajendra Prasad Government College Tanda At Kangra  
Address  Dr Rajendra Prasad Government College Tanda At Kangra OBG Department

Kangra
HIMACHAL PRADESH
176001
India 
Phone  9459719001  
Fax    
Email  meenakshithakur9613@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amit Gupta 
Designation  Professor 
Affiliation  Dr Rajendra Prasad Government College Tanda At Kangra  
Address  Department of obstetrics and gynaecology Dr Rajendra Prasad Government College Tanda At Kangra

Kangra
HIMACHAL PRADESH
176001
India 
Phone    
Fax    
Email  dramit203@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Meenakshi Thakur 
Designation  Junior Resident 
Affiliation  Dr Rajendra Prasad Government College Tanda At Kangra  
Address  Dr Rajendra Prasad Government College Tanda At Kangra OBG Department


HIMACHAL PRADESH
176001
India 
Phone  9459719001  
Fax    
Email  meenakshithakur9613@gmail.com  
 
Source of Monetary or Material Support  
Department of obstetrics and gynaecology Dr Rajendra Prasad Government Medical College Tanda at Kangra 176001 Himachal Pradesh 
 
Primary Sponsor  
Name  Dr Meenakshi Thakur 
Address  Dr RPGMC Tanda Kangra 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Meenakshi thakur  Dr Rajendra Prasad Government College Tanda At Kangra   Department of obstetrics and gynaecology
Kangra
HIMACHAL PRADESH 
9459719001

meenakshithakur9613@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Dr RPGMC kangra at tanda IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  pregnant females 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  induction of labor done at term   Tab msoprostol 25mcg given sublingually 4 hourly 4 doses to patients at full term 
Comparator Agent  spontaneous labor  patients with spontaneous onset of labor are augmented 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  1.Pregnancy beyond 40 weeks of gestational age up to
42 weeks with regular menstrual cycles, with sure
LMP and first trimester scan if available
2.Singleton pregnancy.
3.Cephalic presentation.
 
 
ExclusionCriteria 
Details  1.Premature rupture of membranes
2.Associated medical problems like diabetes mellitus, cardiac diseases, renal diseases, pre-eclampsia.
3.Contraindication to induction of labor such as intrauterine growth restriction, fetal distress (non-reactive CTG), cephalopelvic disproportion, placenta previa, chronic placental insufficiency, abnormal fetal presentations (transverse lie or breech),cord presentation.
4.Previous cesarean section
5.Mode of induction other than misoprostol 25 mcg sublingually
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare maternal and fetal outcome in spontaneous labor and induced labor (with misoprostol 25 mcg 4 doses 4 hour apart) beyond 40 weeks of gestation.  To compare maternal and fetal outcome in spontaneous labor and induced labor (with misoprostol 25 mcg 4 doses 4 hour apart) beyond 40 weeks of gestation. 
 
Secondary Outcome  
Outcome  TimePoints 
comfort of patient in labour  1 year 
 
Target Sample Size   Total Sample Size="128"
Sample Size from India="128" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   11/03/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary    It will be a hospital based prospective comparative study conducted in the Department of Obstetrics and Gynecology at Dr RPGMC Tanda at Kangra which will include all the pregnant women who have crossed their expected date of delivery meeting the inclusion and exclusion criteria admitted to labor/obstetrics ward for delivery over a period of 1 year. 
The obstetric outcomes of induced and spontaneous groups beyond term shall be analysed to finalise a rationale whether induction of labor should be done at period of gestation beyond expected date of delivery or patient should be allowed to go into spontaneous labor after expected date of delivery.
 
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