[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"labor-active-dilated-cm\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:labor-active-dilated-cm":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,50],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":28,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":49},"100614336","decision-making-in-labor-admission-using-transperineal-ultrasound-vs-vaginal-examination-100614336",false,"NCT07278271","Decision-Making in Labor Admission Using Transperineal Ultrasound vs. Vaginal Examination","Toma de Decisiones en la Admisión Hospitalaria al Parto Con Ecografía Transperineal vs. Tacto Vaginal: Estudio Aleatorizado Controlado","Inclusion Criteria:\n\n* Women aged 18 to 45 years\n* Singleton pregnancy\n* Gestational age ≥ 37 weeks (term pregnancy)\n* Spontaneous uterine contractions at the time of presentation to the emergency department\n* Cephalic presentation\n* Willingness and ability to provide written informed consent\n\nExclusion Criteria:\n\n* Premature rupture of membranes (PROM)\n* Multiple gestation\n* Known high-risk pregnancy (e.g., preeclampsia, intrauterine growth restriction, insulin-dependent diabetes)\n* Previous cesarean delivery\n* Breech or other non-cephalic presentation\n* Elective cesarean section planned or requested\n* Refusal to undergo vaginal delivery\n* Inability or unwillingness to comply with the study protocol","FEMALE","18 Years","45 Years",{"count":20,"type":21},170,"ESTIMATED","INTERVENTIONAL",[24],"NA","This clinical trial aims to determine whether transperineal ultrasound (a perineal external scan) can improve decision-making for hospital admission in term pregnant women in labor compared to traditional vaginal examination. Term pregnant women (\\>37 weeks) presenting with contractions at the emergency department will be randomly assigned to undergo either a transperineal ultrasound or a vaginal examination upon arrival. The study will evaluate whether ultrasound-based assessment reduces the rate of labor inductions and decreases patient discomfort during the admission evaluation. All participants will receive standard clinical evaluation and follow-up according to the assigned method, report discomfort levels using a standardized scale, and have labor outcomes recorded - including induction, oxytocin use, time to delivery, and mode of delivery -, to determine whether ultrasound improves clinical decision-making and maternal comfort.",[27],"Labor Active Dilated Cm",[29,30,31,32,33,34,35,36],"Transperineal ultrasound","Intrapartum ultrasound","Vaginal examination","Hospital admission in labor","Term pregnancy","Angle of progression","Cervical dilatation","Ultrasound vs vaginal exam","RECRUITING","2025-12-10",{"date":40,"type":41},"2025-12-12","ACTUAL",{"date":43,"type":41},"2024-01-29",{"date":45,"type":21},"2026-03",{"name":47,"class":48},"Hospital Universitario La Paz","OTHER",1,{"id":51,"slug":52,"hasResults":11,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":4,"eligibilityCriteria":56,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":57,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":60,"conditions":61,"keywords":63,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":70,"completionDateStruct":72,"leadSponsor":74,"locationsCount":4},"100612210","comparison-between-using-10min-ctg-in-fetal-monitoring-instead-of-30min-monitoring-in-low-resources-overcrowded-hospitals-100612210","NCT07250620","Comparison Between Using 10min CTG in Fetal Monitoring Instead of 30min Monitoring in Low Resources Overcrowded Hospitals.","Diagnostic Accuracy of 10-Minute Vs 30-Minute CTG in Intrapartum Fetal Monitoring.","Inclusion Criteria:\n\n* Singleton pregnancy.\n* Gestational age ≥ 37 weeks.\n* Vertex presentation.\n* Active first stage of labor (cervical dilation ≥ 4 cm).\n* Low-risk pregnancy (no hypertension, diabetes, IUGR, or other significant complications).\n\nExclusion Criteria:\n\n* • Multiple gestation.\n\n  * Known major fetal anomaly.\n  * Non-vertex presentation.\n  * Indication for continuous CTG (e.g., meconium-stained liquor, antepartum hemorrhage).\n  * Maternal refusal.",{"count":58,"type":21},200,"OBSERVATIONAL","Cardiotocography (CTG) is a cornerstone of intrapartum fetal monitoring but requires a minimum of 30 minutes for a reliable trace, creating a significant bottleneck in high-volume, low-resource settings like Egypt As it is time-consuming and resource intensive. This leads to delays in care and increased workload for healthcare providers. A shortened, yet accurate, CTG protocol could drastically improve workflow and resource allocation without compromising fetal safety.",[62,27],"Normal Pregnancy",[64,65],"CTG","Fetal monitoring","NOT_YET_RECRUITING","2025-11-23",{"date":69,"type":41},"2025-11-26",{"date":71,"type":21},"2025-12-17",{"date":73,"type":21},"2026-12",{"name":75,"class":48},"Assiut University"]