IC-CS Risk: Patient Outcomes

University of Pennsylvania

Status: Active, not recruiting

Conditions: Cesarean Delivery

Treatments: Other: Cesarean Risk Calculator

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06488092

854955

Details and patient eligibility

About

This study is looking at the impact of the implementation of a cesarean risk calculator on cesarean delivery and maternal morbidity rates.

Full description

In this study a cesarean risk calculator will be instituted as a part of standard of care in a randomized rollout at 14 labor and delivery clinical sites across 4 institutions. The leadership at all of the sites have planned to implement this intervention for routine use at both sites. This study will evaluate cesarean delivery rates and maternal morbidity before and after implementation at each site.

Enrollment: 20,000 estimated patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

All postpartum patients who were eligible for cesarean risk calculator utilization:

• delivery of a full-term (greater than or equal to 37 weeks) singleton gestation after presenting
• with intact membranes
• undergoing an induction of labor from cervical dilation less than or equal to 2cm

Exclusion criteria

Postpartum patient who had a prior pregnancy resulting in Cesarean delivery

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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20,000 participants in 2 patient groups

Pre-utilization of cesarean risk calculator

No Intervention group

Description:

The time prior to the implementation of the cesarean risk calculator at the labor and delivery unit.

Implementation of cesarean risk calculator

Active Comparator group

Description:

The cesarean risk calculator will be incorporated into routine care at the site

Treatment:

Other: Cesarean Risk Calculator