Status:

RECRUITING

Antibiotic Prophylaxis to Prevent Obesity-Related Induction Complications in Nulliparae at Term 2.0

Lead Sponsor:

University of Oklahoma

Collaborating Sponsors:

University of Alabama at Birmingham

University of Florida

Conditions:

Obesity in Pregnancy

Labor Complication

Eligibility:

FEMALE

15-45 years

Phase:

PHASE2

Brief Summary

Obesity increases the risk of pregnancy complications, including puerperal infections and cesarean delivery, and risk rises with increasing body mass index (BMI). Since obese women are more likely to ...

Detailed Description

This is a multi-center randomized placebo-controlled trial in which nulliparous women with obesity who are undergoing induction of labor at term and not receiving IAP for GBS will be recruited (n=787)...

Eligibility Criteria

Inclusion

  • BMI ≥30
  • No prior deliveries at or beyond 20 weeks gestation
  • Undergoing induction of labor
  • Gestational age 37 weeks or more
  • Age 15-45
  • Not receiving IAP for GBS prophylaxis

Exclusion

  • Fetal death prior to labor induction
  • Known fetal anomaly
  • Multiple gestation
  • Ruptured membranes for more than 12 hours
  • Chorioamnionitis or other infection requiring antibiotics at the start of the labor induction
  • Previous myometrial surgery
  • Allergy to azithromycin or beta-lactam antibiotics

Key Trial Info

Start Date :

April 29 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2028

Estimated Enrollment :

787 Patients enrolled

Trial Details

Trial ID

NCT06488781

Start Date

April 29 2025

End Date

December 1 2028

Last Update

July 17 2025

Active Locations (1)

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1

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States, 73104