Protocol summary

Study aim
Use of Vagiline cream to facilitate and accelerate the delivery of pregnant women
Design
A clinical trial with a control group, with parallel groups, randomized, phase 2 on 70 patients, without blinding. Block randomization with software was used for randomization.
Settings and conduct
Women who were admitted for the onset of labor pains in the pain room of Taleghani Hospital of Arak University of Medical Sciences and while receiving routine care for proper allocation in groups, their cervix was randomly examined by a midwife every one hour up to six stages per group. The intervention is softened with Vagiline cream. The b-shop score is measured by a sampler once before the intervention and every 2 hours up to 24 hours after the intervention. For the control group, routine interventions will be performed and the same score as the intervention group will be recorded.
Participants/Inclusion and exclusion criteria
A pregnant woman during the 40th week of pregnancy with the criteria of age between 18 and 35 years, singleton, gestational age of 40 weeks without the onset of labor pains, B-shop score below 4, without suffering from internal disorders and surgery during pregnancy, no history of high-risk pregnancy, absence of obvious pelvic stenosis (in internal examination), absence of previous cesarean section and absence of water sac rupture.
Intervention groups
Pregnant women in the intervention group will have their cervix softened by a midwife every one hour up to six stages with Vagiline cream and their cervix diameter will be checked, and the control group, without receiving any cream, will be examined every hour up to six stages of the diameter of their cervix.
Main outcome variables
Bishab score before and after admission, average Apgar score in the first minute and fifth minute of labor in newborns

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20200112046087N8
Registration date: 2023-06-15, 1402/03/25
Registration timing: registered_while_recruiting

Last update: 2023-06-15, 1402/03/25
Update count: 0
Registration date
2023-06-15, 1402/03/25
Registrant information
Name
Hanieh Babaei
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 8877 3521
Email address
haniehbabaei92@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-03-21, 1402/01/01
Expected recruitment end date
2024-04-20, 1403/02/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effect of vagiline cream on the facilitation and outcomes of childbirth
Public title
Investigating the effect of vagiline cream on facilitating childbirth
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Singleton Gestational age 40 weeks without onset of labor pains Bishop score below 4
Exclusion criteria:
High risk pregnancy Obvious pelvic stenosis Previous caesarean section Rupture of water bag Internal and surgical disorders during pregnancy
Age
From 18 years old to 35 years old
Gender
Female
Phase
3
Groups that have been masked
No information
Sample size
Target sample size: 70
Randomization (investigator's opinion)
Randomized
Randomization description
In this study, we will use the block randomization method, and in this two-group clinical trial, we will have four blocks. For each person who enters the study, a code is obtained from the software, and it is determined which group it belongs to (intervention or control). The work tool is random allocation software, which, in addition to simple randomization, is capable of generating random sequences using the block method. In order to conceal, we use allocation concealment. This method is such that before the allocation of the individual, the allocated group is not known. In this way, we use non-transparent envelopes sealed with a random sequence. In this method, each of the random sequences created is recorded on a card, and the cards are placed in the envelopes in order. In order to maintain the random sequence, the outer surfaces of the envelopes are numbered in the same order. Finally, the lids of the envelopes are glued and placed in a box. Blocking and preparation of envelopes is done by a person not involved in data sampling and analysis; in this way, the person who collects, the person who analyzes, and the participant are informed of the type of intervention received and what group each person belongs to. He has no information.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Shahid beheshti University of Medical Sciences
Street address
Shahid Chamran Highway - Yemen St. - Shahid Abbas Aarabi St. (Parvaneh) - Next to Taleghani Hospital - Shahid Beheshti University of Medical Sciences and Health Services
City
Tehran
Province
Tehran
Postal code
1983963113
Approval date
2021-11-28, 1400/09/07
Ethics committee reference number
IR.SBMU.RETECH.REC.1400.612

Health conditions studied

1

Description of health condition studied
Facilitate childbirth
ICD-10 code
O80.0
ICD-10 code description
Spontaneous vertex delivery

Primary outcomes

1

Description
Apgar score
Timepoint
The first and fifth minutes
Method of measurement
Using Virginia Apgar's Apgar chart

2

Description
Duration of onset of labor pains
Timepoint
During childbirth
Method of measurement
Calculation of the time interval between the intervention and the onset of real pain

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: use of Vagiline cream formulated and standardized in the Medical Research and Terminology Center to soften the cervix by the size of a finger in order to facilitate and speed up the opening of the cervix in order to let the baby out every one hour up to six stages by the midwife, check the cervix every hour up to six stages (to check effacement, engagement, and dilatation), and fill in the table of measurements.
Category
Treatment - Drugs

2

Description
Control group: checking the cervix every one hour up to six stages by a midwife (to check effacement, engagement, and dilatation) and filling in the table of measurements without using any intervention.
Category
N/A

Recruitment centers

1

Recruitment center
Name of recruitment center
Arak University of Medical Sciences, Taleghani Hospital
Full name of responsible person
Fateme Shabani
Street address
Arak University of Medical Sciences, Blue wing, Department of Midwifery, Prophet Azam Complex, Sardasht Square, Arak
City
Arak
Province
Markazi
Postal code
3819693345
Phone
+98 86 3417 3502
Email
fatemeshabani46897@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Shahid Beheshti Faculty of Traditional Medicine
Full name of responsible person
Mojgan Tansaz
Street address
No. 8, Shams Alley, Vali-e Asr Ave, The Faculty of Traditional Medicine of Shahid Beheshti University of Medical Sciences
City
Tehran
Province
Tehran
Postal code
1516745811
Phone
+98 21 8877 3521
Email
sitm@sbmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shahid Beheshti Faculty of Traditional Medicine
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Shahid Beheshti School of Traditional Medicine
Full name of responsible person
Hanieh Babaei
Position
Reasercher
Latest degree
Master
Other areas of specialty/work
Traditional Medicine
Street address
Faculty of Traditional Medicine, Shahid Beheshti University of Medical Sciences, No. 8, Shams Alley, Valiasr Ave, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1516745811
Phone
+98 21 8877 3521
Email
haniehbabaei92@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shahid Beheshti School of Traditional Medicine
Full name of responsible person
Mojgan Tansaz
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Traditional Medicine
Street address
Faculty of Traditional Medicine, Shahid Beheshti University of Medical Sciences, No. 8, Shams Alley, Valiasr Ave., Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1516745811
Phone
+98 21 8877 3521
Email
tansaz_mojgan@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Hanieh Babaei
Position
Reasercher
Latest degree
Master
Other areas of specialty/work
Traditional medicine
Street address
Faculty of Traditional Medicine, Shahid Beheshti University of Medical Sciences, No. 8, Shams Alley, Valiasr Ave, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1516745811
Phone
+98 21 8877 3521
Email
haniehbabaei92@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
The questionnaires used and the information related to the main outcome will be shared with the applicants.
When the data will become available and for how long
Start the access period at least one month after the results are published
To whom data/document is available
Researchers
Under which criteria data/document could be used
After the publication of the article extracted from the clinical trial, the said person will notify his / her request by email or contact.
From where data/document is obtainable
Dr. Mojgan Tansaz Email: tansaz_mojgan@yahoo.com Phone: 02188773525
What processes are involved for a request to access data/document
Sending a request to the main executor of the project, Dr. Mojgan Tansaz, and reviewing the request by her
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