ClinicalTrials.gg
CompletedNCT03440723Updated Jun 22, 2021Results posted

DilaCheck Cervical Dilation Measurement Trial

An interventional study of DilaCheck and Cervical dilation examination in Cervical Dilation, Labor Pain and Labor Fast, sponsored by Elm Tree Medical Inc.. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-06-22.

Sponsored by Elm Tree Medical Inc. · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

Trial to compare the interexaminer agreement between two cervical dilation examinations conducted by Labor and Delivery physicians when using standard methods versus DilaCheck device.

Read the detailed description

The trial seeks to compare the DilaCheck device with standard digital cervical dilation examinations. 50 laboring female participants will be enrolled with 25 randomly assigned to the control arm and 25 to the treatment (DilaCheck) arm. Each participant will receive two cervical dilation examinations from two separate physicians. The main outcome measure is agreement between the two cervical dilation measurements. Secondary outcomes include ease of use of the device and pain levels.

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Conditions studied

  • Cervical Dilation
  • Labor Pain
  • Labor Fast
  • Labor; Irregular

Keywords

  • Cervical Dilation
  • Dilation
  • Sterile vaginal examination
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In context

Labor Pain

423 studies on the registry are indexed under Labor Pain; 74 are open to participants now.

This study's enrollment of 42 is below the median of 100 across 347 interventional studies indexed under Labor Pain.

Browse Labor Pain studies →

Lead sponsor

This is the only study on the registry with Elm Tree Medical Inc. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The research population is pregnant women in the first stage of labor. Subjects eligible for inclusion in the study must be: pregnant women who are admitted to a Labor and Delivery unit for management or induction of labor in the first stage of labor, are able to give , are 18 years of age or greater, speak English, and have a gestational age greater than or equal to 37 weeks (i.e. term pregnancy). Patients are only consented if they have adequate pain control, either because they are not yet in labor (i.e. are admitted for an induction of labor) or have a functioning epidural.

Exclusion criteria

Exclusion Criteria:

  • Exclusion criteria include progression to the second stage of labor (i.e. known dilation of ten centimeters), known rupture of membranes, any condition that renders labor unsafe for the patient (e.g. cardiac conditions, pulmonary hypertension) and any other condition that necessitates an emergent or urgent cesarean section (e.g. non-reassuring fetal status, placental abruption, hemorrhage, cord prolapse). All participants are necessarily female due to the subject matter. Given the vulnerability of pregnant patients under the age of 18, this study will exclude children. There are no restrictions on eligibility based on race or ethnicity.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Active comparator
    Standard Dilation Exam

    Participants receive two standard digital cervical dilation examinations conducted by two different physicians.

    Diagnostic Test: Cervical dilation examination

  • Experimental
    Dilation Exam with DilaCheck

    Participants receive two cervical dilation examinations using DilaCheck devices conducted by two different physicians.

    Device: DilaCheck

Interventions

  • DeviceDilaCheck

    Measuring device for the measurement of cervical dilation

  • Diagnostic testCervical dilation examination

    Sterile vaginal examination using subjective methods for measurement of cervical dilation

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What researchers measure

Primary outcomes

  1. Interexaminer Agreement

    Agreement between 2 cervical dilation measurements taken by 2 different physicians. If the measurements are the same, the outcome is "agree." If the measurements are different, the outcome is "disagree."

    Time frame: Immediate upon examination

Secondary outcomes

  1. Pain With Examination

    Scores on a Scale. Subjective experience of pain during dilation examinations as measured by scores on a scale given to patient participants following the cervical dilation examinations. The pain measurement is a scale of 1 to 10 with 1 being no pain and 10 being extreme pain. The participant enters a number from 1 to 10 on the survey.

    Time frame: Immediate within 5 minutes of examinations

  2. Ease of Use

    Ease of Use of the device as reported by physician users on a paper survey administered to them. Reported is number of physicians who reported device is easy to use.

    Time frame: Upon conclusion of the trial, <3 months from time of last examination with device

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Results

Posted Jun 22, 2021

Participant flow

Recruitment finalized at 42 due to COVID

Participant flow — Overall Study
MilestoneStandard Dilation ExamDilation Exam With DilaCheck
Started2121
Completed2121
Not completed00

Outcome measures

PrimaryInterexaminer Agreement

Agreement between 2 cervical dilation measurements taken by 2 different physicians. If the measurements are the same, the outcome is "agree." If the measurements are different, the outcome is "disagree."

Time frame:
Immediate upon examination
Reported as:
Count of participants · Participants
Interexaminer Agreement
ParticipantsStandard Dilation ExamDilation Exam With DilaCheck
Interexaminer Agreement94
SecondaryPain With Examination

Scores on a Scale. Subjective experience of pain during dilation examinations as measured by scores on a scale given to patient participants following the cervical dilation examinations. The pain measurement is a scale of 1 to 10 with 1 being no pain and 10 being extreme pain. The participant enters a number from 1 to 10 on the survey.

Time frame:
Immediate within 5 minutes of examinations
Reported as:
Mean · score on pain scale
Pain With Examination
score on pain scaleStandard Dilation ExamDilation Exam With DilaCheck
Pain With Examination2.8 ± 2.83.1 ± 2.9
SecondaryEase of Use

Ease of Use of the device as reported by physician users on a paper survey administered to them. Reported is number of physicians who reported device is easy to use.

Time frame:
Upon conclusion of the trial, <3 months from time of last examination with device
Reported as:
Count of participants · Participants
Ease of Use
ParticipantsProviders Participating in Trial
Ease of Use7

Adverse events

Collected over 30-90 minutes. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Standard Dilation Exam0/21 (0%)0/21 (0%)0/21 (0%)
Dilation Exam With DilaCheck0/21 (0%)0/21 (0%)0/21 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Standard Dilation ExamDilation Exam With DilaCheckTotal
Mean26.8 ± 5.029.1 ± 5.628 ± 5.3
Sex: Female, Male
Sex: Female, Male(Participants)Standard Dilation ExamDilation Exam With DilaCheckTotal
Female212142
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Standard Dilation ExamDilation Exam With DilaCheckTotal
Hispanic or Latino325
Not Hispanic or Latino181937
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Standard Dilation ExamDilation Exam With DilaCheckTotal
American Indian or Alaska Native000
Asian044
Native Hawaiian or Other Pacific Islander000
Black or African American15924
White6713
More than one race011
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)Standard Dilation ExamDilation Exam With DilaCheckTotal
United States212142
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Study locations

1 site
  • Thomas Jefferson University Hospital
    Philadelphia, Pennsylvania 19107, United States
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References and documents

Publications

  • Martin EL, Firman B, Berghella V. Novel device vs manual examinations for the measurement of cervical dilation in labor: a randomized controlled trial. Am J Obstet Gynecol MFM. 2021 May;3(3):100328. doi: 10.1016/j.ajogmf.2021.100328. Epub 2021 Feb 11. PubMed 33582306 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03440723
Lead sponsor
Elm Tree Medical Inc.
Responsible party
Sponsor
First posted
Feb 22, 2018
Start date
Jan 6, 2020
Primary completion
Mar 30, 2020
Completion
Mar 30, 2020
Results posted
Jun 22, 2021
Last update
Jun 22, 2021

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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