ISRCTN ISRCTN14898678
DOI https://doi.org/10.1186/ISRCTN14898678
Secondary identifying numbers 6895
Submission date
12/05/2010
Registration date
12/05/2010
Last edited
17/04/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Miss Dawn Jackson
Scientific

Poole Hospital NHS Foundation Trust
St Mary's Maternity Hospital
Poole
BH15 2JB
United Kingdom

Study information

Study designMulticentre randomised process of care cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA two centre randomised controlled trial comparing intramuscular diamorphine and intramuscular pethidine for labour analgesia
Study acronymIDvIP
Study hypothesisStudy objectives:
To evaluate the maternal and neonatal efficacy and safety of intramuscular diamorphine 7.5 mg versus intramuscular pethidine 150 mg for labour pain.

Evaluation of study:
An intention to treat analysis will be used. Results will be presented with 95% confidence intervals whenever possible and will be reported using CONSORT guidelines.

Duration of study period: 3 years
Ethics approval(s)Southampton and SW Hampshire REC (B) approved on the 2nd March 2007 (ref: 07/Q1704/6)
ConditionTopic: Reproductive Health and Childb, Generic Health Relevance and Cross Cutting Themes, Primary Care Research Network for England; Subtopic: Not Assigned, Reproductive Health and Childb (all Subtopics), Generic Health Relevance (all Subtopics); Disease:
InterventionStudy Medicinal Products: 7.5 mg diamorphine and 150 mg pethidine up to a maximum of two doses with a minimal interval of 2 hours between doses. Total duration of treatment and follow-up will be the duration of the women’s labour plus 24 hours after birth.

As of 10/01/2011 this record was updated to include an extended anticipated end date; the initial anticipated end date was 01/05/2010.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase IV
Drug / device / biological / vaccine name(s)Pethidine, diamorphine
Primary outcome measure1. Change in pain intensity over 3 hours (AUC)
2. Side effects:
2.1. Need for neonatal resuscitation
2.2. Apgar score less than 7 at 1 minute
Secondary outcome measures1. Pain relief
2. Maternal sedation
3. Nausea and vomiting
4. CTG
5. Patient satisfaction
6. % choosing analgesia for next pregnancy
7. Meconium staining
8. UApH
9. UVpH
10. Apgar scores
11. Naloxone
12. Neonatal SpO2
13. Feeding behaviour
Overall study start date01/11/2008
Overall study end date01/02/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participantsPlanned sample size: 450
Participant inclusion criteria1. Active labour with a singleton pregnancy
2. Regular uterine contractions of at least two in 10 minutes
3. Cervical dilatation of at least 3 cm
4. Foetal gestational age of 37 - 42 weeks
5. Minimum weight of 60 kg
6. Multiparous and nulliparous women
7. Spontaneously gone into labour or have had an amniotomy and intravenous oxytocin to induce labour
8. Aged 18 years and over
Participant exclusion criteria1. Allergy or previous severe reaction to opioid analgesia
2. Opioid dependency
3. History of foetal compromise
4. Maternal cardiorespiratory compromise
5. American Society of Anaesthesiologists (ASA) grade 3 and 4
6. Maternal weight greater than 120 kg
Recruitment start date01/11/2008
Recruitment end date01/02/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Poole Hospital NHS Foundation Trust
Poole
BH15 2JB
United Kingdom

Sponsor information

Poole Hospital NHS Foundation Trust (UK)
Hospital/treatment centre

St Mary's Maternity Hospital
Longfleet Road
Poole
BH15 2JB
England
United Kingdom

Website http://www.poole.nhs.uk
ROR logo "ROR" https://ror.org/03kdm3q80

Funders

Funder type

Government

National Institute for Health Research (NIHR) (UK) - Research for Patient Benefit (RfPB) Programme

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 08/07/2011 Yes No
Results article results 01/03/2014 Yes No