Caesarean and Corticotherapy

Comparison of two randomized group : - caesarean section planned at 38 weeks after 2 antenatal injections of 12 mg of betamethasone 48 h before. - caesarean section planned at 39 weeks without corticosteroid. The aim is to demonstrate that programming caesarean section at 38 weeks of pregnancy, after antenatal corticosteroid, allows to avoid caesarean section in emergency (because of a labour...

Date First Received: March 12, 2007

Last Updated: January 23, 2008

Verified by: University Hospital, Strasbourg, France, January 2008

Clinical Trial Phase: Phase 4 | Start Date: March 2007

Overall Status: Recruiting

Estimated Enrollment: 600

Brief Summary

Official Title: “Interest in Programming Caesarean Section at 38 Weeks of Pregnancy With Antenatal Betamethasone to Prevent Neonatal Respiratory Distress and to Avoid Emergency Caesarean Section Before Planned Date.”

Condition Keyword(s):

Comparison of two randomized group : - caesarean section planned at 38 weeks after 2 antenatal injections of 12 mg of betamethasone 48 h before. - caesarean section planned at 39 weeks without corticosteroid.

The aim is to demonstrate that programming caesarean section at 38 weeks of pregnancy, after antenatal corticosteroid, allows to avoid caesarean section in emergency (because of a labour before 39 weeks), without increasing the neonatal respiratory distress rate.

Study Type: Interventional

Study Design: Prevention, Randomized, Open Label, Uncontrolled, Parallel Assignment, Efficacy Study

Study Primary Completion Date: March 2009

Intervention(s) in this Clinical Trial

  • Drug: betamethasone
    • 2x12 mg betamethazone c-section at 38 weeks
  • Other: placebo
    • c-section at 39 weeks

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: 1
    • 2x 12 mg betamethazone
  • Placebo Comparator: 2
    • no drugs

Outcome Measures for this Clinical Trial

Primary Measures

  • Neonatal respiratory distress
    • Time Frame: 15 days
      Safety Issue?: Yes

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • woman who needs elective caesarean section

Exclusion Criteria:

  • multiple pregnancy
  • toxaemia
  • rhesus immunization
  • fetal infection
  • maternal gastro-duodenal ulcer
  • mother HIV+
  • prior injection of corticosteroid during the pregnancy

Gender Eligibility for this Clinical Trial: Female

Minimum Age for this Clinical Trial: N/A

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: University Hospital, Strasbourg, France

Overall Clinical Trial Officials and Contacts

Bruno Langer, MD Principal Investigator Les Hôpitaux Universitaires de Strasbourg  

Overall Contact: Bruno Langer, MD 0333 88127503 bruno.langer@chru-strasbourg.fr

Additional Information

Information obtained from ClinicalTrials.gov on August 29, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00446953

Study ID Number: 3740

ClinicalTrials.gov Identifier: NCT00446953

Health Authority: France: Ministry of Health

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