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A cluster randomised trial to investigate the use of a decision aid for the diagnosis of active labour in term pregnancy
ISRCTN ISRCTN00522952
ClinicalTrials.gov identifier
Public title A cluster randomised trial to investigate the use of a decision aid for the diagnosis of active labour in term pregnancy
Scientific title
Acronym TELSiS
Serial number at source CZH/4/245
Study hypothesis The primary aim of this study is to compare the effectiveness of a decision aid for diagnosis of active labour, with standard care in terms of maternal and neonatal outcomes, costs and costs savings. A secondary aim is to explore the impact of the intervention on women.
Ethics approval Approved by the Multicentre Research Ethics Committee for Scotland B (ref: 05/MRE10/31)
Study design A cluster randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Diagnosis of active labour
Participants - inclusion criteria Women who were primiparous, at term, and assessed as low risk
Participants - exclusion criteria 1. Multiparous
2. Pre-term
3. Multiple pregnancy
4. Medical or obstetric complications
5. Under 16 years of age
Anticipated start date 31/03/2005
Anticipated end date 30/06/2007
Status of trial Completed
Patient information material
Target number of participants 4,800 (12 clusters, 400 women in each cluster)
Interventions Diagnosis of active labour using algorithm vs usual care (labour assessment by standard methods)
Primary outcome measure(s) Use of oxytocin for augmentation of labour
Secondary outcome measure(s) 1. Interventions in labour i.e. artificial rupture of membranes (ARM)
2. Vaginal examination (VE)
3. Use of analgesia
4. Mode of delivery
5. Management of women "not in labour"
6. Intrapartum complications
7. Neonatal outcome
8. Unplanned out-of-hospital births
9. NHS cost and cost to women
Sources of funding Chief Scientist Office, Health Service Research Committee, Scotland (UK)
Trial website
Publications 2008 results in http://www.ncbi.nlm.nih.gov/pubmed/19064606
Contact name Ms  Helen  Cheyne
  Address Iris Murdoch Building
University of Stirling
  City/town Stirling
  Zip/Postcode FK9 4LA
  Country United Kingdom
  Email h.l.cheyne@stir.ac.uk
Sponsor University of Stirling (UK)
  Address -
  City/town Stirling
  Zip/Postcode FK9 4LA
  Country United Kingdom
  Email carol.johnstone@stir.ac.uk
  Sponsor website: http://www.external.stir.ac.uk
Date applied 28/02/2008
Last edited 10/12/2008
Date ISRCTN assigned 27/03/2008
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