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CTRI Number  CTRI/2024/05/067386 [Registered on: 15/05/2024] Trial Registered Prospectively
Last Modified On: 07/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   ambidirectional cohort study 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Development And Validation of a model For Vaginal Birth After Caesarean Section  
Scientific Title of Study   Development And Validation Of A Predictive Model For Vaginal Birth After Caesarean Section Based On Demographic, Clinical And Ultrasound Based Factors 
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 K Aparna Sharma 
Designation  Professor 
Affiliation  AIIMS New Delhi 
Address  Room number - 715, 7th Floor Mother and Child Block, Department of Obstetrics and Gynaecology AIIMS New Delhi 110029

South
DELHI
110029
India 
Phone  9711824415  
Fax    
Email  kaparnasharma@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr K Aparna Sharma 
Designation  Professor 
Affiliation  AIIMS New Delhi 
Address  Room number - 715, 7th Floor Mother and Child Block, Department of Obstetrics and Gynaecology AIIMS New Delhi 110029


DELHI
110029
India 
Phone  9711824415  
Fax    
Email  kaparnasharma@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr K Aparna Sharma 
Designation  Professor 
Affiliation  AIIMS New Delhi 
Address  Room number - 715, 7th Floor Mother and Child Block, Department of Obstetrics and Gynaecology AIIMS New Delhi 110029


DELHI
110029
India 
Phone  9711824415  
Fax    
Email  kaparnasharma@gmail.com  
 
Source of Monetary or Material Support  
not required, observational study 
 
Primary Sponsor  
Name  No funds required as it is institute based PG thesis project 
Address  AIIMS New Delhi 
Type of Sponsor  Research institution and hospital 
 
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 
Riya Bagdi  aiims new delhi  Mother and child block Pincode -110029
South
DELHI 
8107168108

riyabagdi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee AIIMS New Delhii  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Pregnant patients who had previous C-section and are willing for Trial of labour after C-section 
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Inclusion Criteria
For retrospective data
Records will be reviewed of all pregnant women with a history of previous one caesarean section and a transverse incision in the lower uterine segment who underwent TOLAC with gestation ≥37 weeks and singleton live birth
For Prospective Study
Inclusion Criteria
1. Pregnant woman with
2. Previous one low transverse cesarean section
3. 37 or more weeks of gestation
4. vertex singleton presentation
5. no known contraindication to Trial of Labour
6. Those who are willing to undergo TOLAC should have given informed consent
 
 
ExclusionCriteria 
Details  For prospective studyExclusion Criteria
1. Expected Baby weight of 3.5 kg
2. Morbid obesity
3. Multiple pregnancy
4. Non-cephalic presentation
5. Placenta previa/abruption
6. Previous history of extension of caesarean scar
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Prediction of successful TOLAC using the developed model among the prospective pregnancies in women
1. Undergoing spontaneous labour
2. Undergoing induction of labour with PGE2
3. Undergoing induction of labour with Mechanical induction
 
Prediction of successful TOLAC using the developed model among the prospective pregnancies in women
1. Undergoing spontaneous labour
2. Undergoing induction of labour with PGE2
3. Undergoing induction of labour with Mechanical induction
 
 
Secondary Outcome  
Outcome  TimePoints 
1. Efficacy of USG measured scar thickness in improving the predictive ability of the developed model   34-36 weeks 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   05/02/2025 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   To develop a predictive model for Vaginal birth after Caesarean section(VBAC) using a retrospective data set of women who underwent VBAC and then to validate the developed model in women undergoing VBAC 
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