DRUG
Treatment with Diphenhydramine
Diphenhydramine 50mg IV will be administered within 1 hour of the cervical exam which diagnosed prolonged active phase of labor
Status
Recruiting
Phase
Phase 2 / Phase 3
Enrollment
200
Locations
1
Results
Not posted
Publications
0
Study summary
The purpose of this study is to is to determine the clinical effectiveness of a single dose of intravenous (IV) medication for the prevention of labor arrest and cesarean delivery in primiparous women undergoing trial of labor.
Interventions
DRUG
Diphenhydramine 50mg IV will be administered within 1 hour of the cervical exam which diagnosed prolonged active phase of labor
COMBINATION_PRODUCT
Participants will receive cervical exams every 2 hours in active labor, placement of intrauterine pressure catheter, up titration of Pitocin if contractions are inadequate, maternal repositioning, and use of adjunct devices such as a peanut ball.
Timeline
First posted
Nov 25, 2024
Study start
Mar 25, 2025
Primary completion
Mar 25, 2027
Study completion
Apr 9, 2027
Results posted
Not reported
Registry updated
May 6, 2026
Outcomes
Number of participants that achieve complete dilation of cervix (10cm)
Time frame · from start of treatment upto 4 hours
Number of participants that achieve complete dilation of cervix (10cm)
Time frame · from start of treatment upto 6 hours
Number of participants who have vaginal delivery after protracted labor
Time frame · End of delivery (an average of upto 6 hours after start of treatment)
Number of participants who have Postpartum complications captured as composite maternal morbidity
Time frame · from hospitalization up to 6 weeks postpartum
This includes postpartum hemorrhage, cervical lacerations or intraamniotic infection
Number of neonates that had adverse events
Time frame · from birth up to 6 weeks post-delivery
Adverse events include 5 minute APGAR SCORES less than 7, Respiratory Support with intubation in the delivery room , Neonatal intensive acre unit (NICU) admission, Fetal Anomalies, Infection, Intraventricular Hemorrhage, Hypoglycemia, Retinopathy of prematurity, Injuries, Fractures
Eligibility
Inclusion Criteria: * Primiparous * Viable single intrauterine pregnancy -≥ 34 weeks of gestation * Ruptured membranes * Category I tracing at time of inclusion * Active phase of labor (\>=6 cm of cervix dilation) Exclusion Criteria: * Category II or III tracing * Allergy to the study medication (IV Diphenhydramine)
Study locations
United States. Showing up to 24 locations stored in the fast local snapshot.
The University of Texas Health Science Center at Houston
Houston, Texas, United States
Publications
No PMID-linked publications were present in this registry snapshot.
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