[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"cesarean-section-rate\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:cesarean-section-rate":30},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,44],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":4,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":32,"lastUpdatePostDateStruct":33,"startDateStruct":36,"completionDateStruct":38,"leadSponsor":40,"locationsCount":43},"100626032","obstetric-risk-assessment--cesarean-delivery-in-labor-estimation-using-artificial-intelligence-100626032",false,"NCT07430358","Obstetric Risk Assessment & Cesarean-delivery in Labor Estimation Using Artificial Intelligence","Obstetric Risk Assessment & Cesarean-delivery in Labor Estimation Using Artificial Intelligence Trial (ORACLE-AI)","ORACLE-AI","Inclusion Criteria:\n\n* Age ≥ 18 years at the time of consent\n* Able and willing to provide written informed consent\n* Nulliparous (no prior birth ≥ 24 weeks' gestation)\n* Singleton live pregnancy\n* Cephalic (vertex) fetal presentation\n* Gestational age ≥ 37+0 weeks\n* Admitted to the labor ward in labor (cervical dilation ≥ 3 cm with regular contractions) or undergoing induction or augmentation of labor with intent to proceed to vaginal delivery\n* Planned trial of labor (no scheduled or elective cesarean delivery)\n* Receiving intrapartum care at Hadassah-Hebrew University Medical Center, Mount Scopus campus\n\nExclusion Criteria:\n\n* Planned or elective cesarean delivery prior to labor admission\n* Multifetal gestation\n* Non-cephalic fetal presentation\n* Gestational age \\\u003C 37+0 weeks\n* Major fetal anomaly expected to affect labor or neonatal management\n* Contraindication to vaginal delivery (e.g., placenta previa, invasive placentation, prior uterine surgery precluding labor)\n* Category III fetal heart rate tracing on admission requiring immediate delivery\n* Maternal hemodynamic instability or other life-threatening condition necessitating urgent surgical or critical-care intervention\n* Inability to provide informed consent due to cognitive impairment, intoxication, or other incapacity\n* Concurrent participation in another interventional obstetric study that could confound outcomes or increase risk",true,"FEMALE","18 Years",{"count":21,"type":22},400,"ESTIMATED","INTERVENTIONAL",[25],"NA","ORACLE-AI is a single-center, open-label, randomized clinical trial comparing primiparous women managed with a real-time machine-learning dashboard against a concurrent control group receiving standard intrapartum care. Participants are randomized 1:1 at the onset of labor. The intervention group has the AI dashboard visible in their electronic health record, while the control group does not. The primary hypothesis is that the use of continuous AI-based risk estimates will be non-inferior to standard care in terms of unplanned cesarean\\–delivery rates (uCD), with potential secondary benefits in maternal and neonatal outcomes.",[28,29,30],"Labor, Obstetric","Pregnancy","Cesarean Section Rate","RECRUITING","2026-05-20",{"date":34,"type":35},"2026-05-22","ACTUAL",{"date":37,"type":22},"2026-05-19",{"date":39,"type":22},"2027-04-30",{"name":41,"class":42},"Hadassah Medical Organization","OTHER",1,{"id":45,"slug":46,"hasResults":11,"nctId":47,"briefTitle":48,"officialTitle":49,"acronym":50,"eligibilityCriteria":51,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":52,"targetDuration":4,"studyType":23,"phases":54,"briefSummary":55,"conditions":56,"keywords":60,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":65,"lastUpdatePostDateStruct":66,"startDateStruct":68,"completionDateStruct":70,"leadSponsor":72,"locationsCount":43},"100596965","the-moby-study-efficacy-of-birth-mobility-100596965","NCT07052331","The MOBY Study: Efficacy of Birth Mobility","The MOBY Study - Efficacy of Birth Mobility: Randomized Clinical Trial Investigating the Efficacy of Birth Mobility on Birth Outcomes in Primiparous Women With and Without a Birth Mobility System.","MOBY","Inclusion Criteria:\n\n* Age ≥ 18 years\n* German- or English-speaking\n* Able to provide written informed consent with capacity of judgment\n* Low-risk singleton pregnancy\n* Primiparous woman\n* Cephalic presentation\n* Gestational age at delivery ≥ 37 + 0 weeks\n\nExclusion Criteria:\n\n* Multiparous woman\n* Not capable of understanding instructions for use of the mobility system (intervention group)\n* Scheduled (elective) cesarean section\n* Contraindication to vaginal delivery\n* Multiple pregnancy\n* Breech presentation\n* Estimated fetal weight \\\u003C 10th percentile or \\> 90th percentile\n* Relevant fetal congenital abnormalities affecting neonatal adaptation\n* Pre-existing medical conditions significantly affecting mobility (e.g., orthopedic conditions, osteoporosis, multiple sclerosis, spinal cord injury)\n* Relevant intrapartum bleeding\n* Preeclampsia or HELLP syndrome",{"count":53,"type":22},714,[25],"This randomized clinical trial investigates whether and how maternal mobility during labor influences birth outcomes in primiparous women. The study compares standard obstetric care with care that includes a birth mobility system. The primary aim is to assess whether the system helps reduce secondary cesarean section rates. Secondary objectives include evaluation of labor progression, medication use, newborn health, and user satisfaction. Participation occurs during birth and includes the collection of routine clinical data and a short questionnaire afterward.",[57,30,58,59],"Labor Duration","Maternal Mobility","Healthy",[61,62,63,64],"Birth mobility","Maternal satisfaction","Labor and delivery","Neonatal outcomes","2025-12-16",{"date":67,"type":35},"2025-12-23",{"date":69,"type":35},"2025-07-25",{"date":71,"type":22},"2028-08",{"name":73,"class":74},"Vibwife AG","INDUSTRY"]