Oxytocin and Fetal Heart Rate Changes
NCT03232918 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 730
Last updated 2025-06-04
Summary
The reported risk of nonreassuring fetal heart trace following neuraxial analgesia is 3-23%. This variability may be due to fluid and oxytocin management prior to and during the initiation of neuraxial analgesia. The study hypothesis is that decreasing the oxytocin infusion rate by 50 % prior to initiation of combined spinal epidural analgesia will cause a reduction in the incidence of adverse fetal heart rate changes.
Conditions
- Fetal Bradycardia Complicating Labor and Delivery
- Fetal Bradycardia During Labor
- Fetal Heart Rate or Rhythm Abnormality Affecting Fetus
Interventions
- DRUG
-
Half dose Oxytocin
Patients randomized to the half dose oxytocin group will have the oxytocin infusion reduced to 50 % prior to placement of combined spinal epidural for labor analgesia
Sponsors & Collaborators
-
Unyime Ituk
lead OTHER
Principal Investigators
-
Unyime Ituk · University of Iowa
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 55 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2019-02-20
- Primary Completion
- 2025-12-31
- Completion
- 2025-12-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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