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Fetal head extraction technique during the cesarean section for Pregnancy (Hand forceps Trial)

N/A
Waitlist Available
Led By Xuezhi (Daniel) Jiang, MD
Research Sponsored by The Reading Hospital and Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2 year
Awards & highlights

Hand forceps Trial Summary

This trial will compare two techniques for delivering a baby during a c-section - one that has been used for centuries, and a newer two-handed technique. The researchers hope to find that the two-handed technique is more efficient and safe, and causes less maternal discomfort.

Eligible Conditions
  • Pregnancy
  • Delivery Complications
  • Cesarean Delivery

Hand forceps Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and 2 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Time needed for fetal head delivery
Secondary outcome measures
Extension of hysterotomy

Hand forceps Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Two-handExperimental Treatment1 Intervention
An innovative approach to manual head extraction, with surgeon's both hands formed as a pair of forceps, has been used by the PI of this study for years during the LTCS for head extraction in the difficult situations described above without complication, often time it was used after one hand approach failed to deliver the infant, vacuum/forceps and abdominal pressure usually was not needed in these cases.
Group II: One-handActive Control1 Intervention
During LTCS, the fetal head traditionally is delivered by one-hand manual extraction (a surgeon inserts one hand into the uterus via the hysterotomy and lifts the fetal head out of maternal pelvis, subsequently significant abdominal pressure is required to squeeze the fetal head out of hysterotomy) along with application of significant abdominal/fundal pressure.

Find a Location

Who is running the clinical trial?

The Reading Hospital and Medical CenterLead Sponsor
13 Previous Clinical Trials
1,484 Total Patients Enrolled
Xuezhi (Daniel) Jiang, MD4.01 ReviewsPrincipal Investigator - Reading Hospital of Tower Health
The Reading Hospital and Medical Center
4Patient Review
Dr. Jiang is an excellent physician who is highly respected by her peers. She is always respectful to her patients and makes them feel comfortable.

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Recent research and studies
Journal of Perinatal MedicineJournal
Short Communication
“Short Communication”. 1986. “Short Communication”. Journal of Perinatal Medicine. Walter de Gruyter GmbH. doi:10.1515/jpme.1986.14.2.137.
clinicaltrials.govStudy
Hand Forceps vs. Conventional One-hand Technique for Fetal Head Extraction During Cesarean Section
Xuezhi (Daniel) Jiang, MD 2020. "Hand Forceps vs. Conventional One-hand Technique for Fetal Head Extraction During Cesarean Section". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT04159857.
~10 spots leftby Apr 2025
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