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CTRI Number  CTRI/2024/04/065158 [Registered on: 03/04/2024] Trial Registered Prospectively
Last Modified On: 02/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   To compare a new fetal heart rate monitoring machine with routinely used machine during delivery of baby. 
Scientific Title of Study   Comparison of a new novel fetal heart rate monitoring device to standard cardiotocography in detecting fetal heart rate during intrapartum period. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rahul Bhakat 
Designation  DM Postgraduate resident 
Affiliation  Madras Medical College 
Address  Department of Neonatology, Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai.

Chennai
TAMIL NADU
600008
India 
Phone  9838104536  
Fax    
Email  rahulbhakatcnmc44@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  S Mangala Bharathi 
Designation  Professor and Head of Department, Department of Neonatology 
Affiliation  Madras Medical College 
Address  Department of Neonatology, Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai.

Chennai
TAMIL NADU
600008
India 
Phone  9840786836  
Fax    
Email  drmangalabharathi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  S Mangala Bharathi 
Designation  Professor and Head of Department, Department of Neonatology 
Affiliation  Madras Medical College 
Address  Department of Neonatology, Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai.

Chennai
TAMIL NADU
600008
India 
Phone  9840786836  
Fax    
Email  drmangalabharathi@gmail.com  
 
Source of Monetary or Material Support  
Department of Neonatology, Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai 
 
Primary Sponsor  
Name  Rahul Bhakat 
Address  Department of Neonatology Institute of Obstetrics and Gynaecology Madras Medical College Chennai 
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 S Mangalabharathi  Institute of Obstetrics and Gynaecology  Department of Obstetrics, Pantheon road, Egmore, Chennai, 600008
Chennai
TAMIL NADU 
9840786836

drmangalabharathi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Madras Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O68||Labor and delivery complicated byabnormality of fetal acid-base balance,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1. Women with singleton pregnancy.
2. Gestation more than or equal to 32 weeks.
3. Admission in labour ward with labour pains.
 
 
ExclusionCriteria 
Details  1. Presence of antenatally detected major fetal anomaly.
2. Intrauterine death.
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. Agreement between the two devices in detecting Fetal heart rate.
2. Correlation coefficient between the two devices in detecting Fetal heart rate.

 
Measurement of fetal heart rate for continuous 6 minutes during first and / or second stage of labour only once at enrollment.

 
 
Secondary Outcome  
Outcome  TimePoints 
Decision taken regarding delivery of fetus  Measurement of fetal heart rate continuously for 6 minutes during first/ second stage of labour during delivery once at the time of enrollment.  
Detection of abnormal fetal heart rate/ Fetal distress   Fetal heart rate will be continuously measured for 6 minutes during first/ second stage of labour during delivery once. 
Number of device adjustments required   During continuos measurement of fetal heart rate for 6 minutes during first/ second stage of labour. 
Patient/ provider device satisfaction   During continuous measurement of fetal heart rate for 6 minutes during first/ second stage of labour once. 
5. APGAR at 1 and 5 minutes
6. Degree of resuscitation required  
Neonates after delivery till resuscitation is required 
 
Target Sample Size   Total Sample Size="260"
Sample Size from India="260" 
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   N/A 
Date of First Enrollment (India)   13/04/2024 
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="0"
Months="3"
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  
Fetal heart rate ( FHR ) monitoring is the key parameter of intrapartum fetal monitoring and indicator of fetal hypoxia. Current non invasive FHR device technologies have challenges like - high cost of machines, requirement of dedicated space and well trained person to interpret resultant waveform and readings.
This novel FHR monitoring device designed by Indian Institute of Technology Madras, extracts FHR from mother’s abdomen using photoplethysmography (PPG) method. It uses infrared technology to detect FHR, has simple robust design, is completely non invasive, safe for both mother and fetus and suitable for long term monitoring. It is easily portable, low cost, consumes less power, easy to use, requires less training or skill to operate and generates alarm if any abnormality in FHR.
The availability of such novel FHR monitoring devices at peripheral facilities would help in identifying at risk fetuses for timely referral and action and also to reduce stillbirths and birth asphyxia.
To compare FHR detection by novel FHR monitoring device with FHR information obtained from conventional cardiotocography.
 
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