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Reduced Oxytocin for Fetal Bradycardia

Phase 4
Recruiting
Research Sponsored by Unyime Ituk
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Oxytocin used for induction of labor or augmentation of labor per institutional protocols
Healthy nulliparous or multiparous women at term (37 > weeks' gestation)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 24 hours
Awards & highlights

Study Summary

This trial is testing whether reducing the rate of an oxytocin infusion before starting combined spinal epidural analgesia will decrease the incidence of adverse fetal heart rate changes.

Who is the study for?
This trial is for healthy pregnant women with a single baby at term (37 weeks or more), who want neuraxial analgesia for pain relief during labor and are already receiving oxytocin as per hospital guidelines. It's not open to those on chronic pain meds, who've had systemic opioid labor analgesia, have a baby in non-head-down position, or can't have an epidural due to other risks.Check my eligibility
What is being tested?
The study is testing if reducing the rate of oxytocin infusion by half before starting combined spinal epidural analgesia lowers the risk of adverse changes in the baby's heart rate during birth.See study design
What are the potential side effects?
While specific side effects aren't listed here, generally speaking, changing oxytocin levels could potentially affect both mother and baby's well-being including alterations in fetal heart rate or maternal contractions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I received oxytocin to help start or speed up my labor as per hospital guidelines.
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I am a healthy woman at or past 37 weeks of pregnancy.
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I am asking for spinal or epidural pain relief.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~24 hours
This trial's timeline: 3 weeks for screening, Varies for treatment, and 24 hours for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Incidence of non-reassuring fetal heart rate tracings
Secondary outcome measures
Effect of oxytocin dose on duration of 1st and 2nd stage of labor
Mode of delivery

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Half Dose OxytocinExperimental Treatment1 Intervention
Patients randomized to the half dose oxytocin will have their oxytocin infusion reduced by 50 % prior to placement of a combined spinal epidural for labor analgesia.
Group II: Standard Dose OxytocinActive Control1 Intervention
Patients randomized to the standard dose oxytocin will have their oxytocin infusion maintained at the standard of care protocol prior to placement of a combined spinal epidural for labor analgesia

Find a Location

Who is running the clinical trial?

Unyime ItukLead Sponsor

Media Library

Half dose Oxytocin Clinical Trial Eligibility Overview. Trial Name: NCT03232918 — Phase 4
Fetal Bradycardia Research Study Groups: Standard Dose Oxytocin, Half Dose Oxytocin
Fetal Bradycardia Clinical Trial 2023: Half dose Oxytocin Highlights & Side Effects. Trial Name: NCT03232918 — Phase 4
Half dose Oxytocin 2023 Treatment Timeline for Medical Study. Trial Name: NCT03232918 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is it possible for me to become a participant in this clinical trial?

"This clinical trial is taking in 730 patients with fetal heart rate and rhythm irregularities, between 18 to 55 weeks of gestation. To be considered for this study, participants must meet specific criteria: healthy women at the end of their pregnancy term; expecting only one baby; desiring neuraxial analgesia during labour; and willing to use oxytocin according to institutional protocols as part of induction or augmentation procedures."

Answered by AI

Is the age-range for this trial including individuals over twenty years old?

"The prerequisites for this experiment necessitate that participants must be aged between 18 and 55. However, 11 trials are available for younger patients and 48 studies cater to those over 65 years old."

Answered by AI

How many participants have been recruited to this experiment?

"Affirmative. According to details hosted on clinicaltrials.gov, this medical research is still recruiting participants with the initial post published February 20th 2019 and edited May 10th 2022. Specifically, 730 patients are required across 2 sites for the study's completion."

Answered by AI

Could you inform me if this clinical trial is still accepting participants?

"Affirmative. According to information present on clinicaltrials.gov, this clinical trial is actively recruiting participants and has been since it was first posted in February of 2019. The study calls for 730 individuals from two sites and the data was last modified on May 10th 2022."

Answered by AI

What other research endeavors have explored the effectiveness of reduced Oxytocin dosages?

"In 2011, Hadassah University Medical Organization instigated the first studies on half dose Oxytocin. Since then, 311 trials have concluded with 53 still in progress; many of which are hosted by Iowa City's medical centres."

Answered by AI

What purpose does Half dose Oxytocin typically serve?

"Oxytocin, in lower doses, is a therapeutic option for the management of excessive bleeding and to enhance uterine contractions during labour. Additionally, it may be prescribed to reinforce labor or other medical conditions."

Answered by AI

What have been the results of research into the security implications of administering a half-strength dose of oxytocin?

"Our team at Power rated Half-dose Oxytocin as a 3 on the safety scale due to it being in Phase 4 trials, which suggests that this intervention is approved."

Answered by AI
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~0 spots leftby Apr 2024