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Trial registered on ANZCTR
Registration number
ACTRN12614000558628
Ethics application status
Approved
Date submitted
8/12/2013
Date registered
26/05/2014
Date last updated
26/05/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Uterine cavity length in postpartum women who are exclusively breastfeeding: is atrophy responsible for a higher perforation rate at Intrauterine Contraceptive Device (IUCD) insertion?
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Scientific title
Do breast feeding women 2-6 months postpartum have a shorter intrauterine cavity length when measured on transvaginal ultrasound scan, compared with non breastfeeding women 2-6 months postpartum and non breastfeeding women greater than 6 months postpartum.
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Secondary ID [1]
283721
0
nil known
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Universal Trial Number (UTN)
U1111-1151-1666
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Uterine perforation at insertion of intrauterine contraceptive device (IUD) in postpartum breastfeeding and non breastfeeding women
290686
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Effect of breast feeding on uterine cavity length & fundal myometrial thickness
290687
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Condition category
Condition code
Reproductive Health and Childbirth
291054
291054
0
0
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Contraception
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Reproductive Health and Childbirth
291055
291055
0
0
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Breast feeding
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Reproductive Health and Childbirth
291056
291056
0
0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Observational study - comparing intrauterine cavity length & fundal myometrial thickness in breastfeeding women 2-6 months postpartum with non breastfeeding women 2-6 months postpartum and non-breastfeeding women greater than 6month postpartum and premenopausal by using a single cross-sectional transvaginal ultrasound measurement.
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Intervention code [1]
288415
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Not applicable
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Comparator / control treatment
Measurement of non breastfeeding women 2-6 months postpartum and non-breastfeeding women greater than 6 months postpartum and premenopausal by using a single cross-sectional transvaginal ultrasound measurement.
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Control group
Active
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Outcomes
Primary outcome [1]
291047
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Intrauterine cavity length measuews by transvaginal ultrasound scan in milimeters.
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Assessment method [1]
291047
0
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Timepoint [1]
291047
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Single point observational measurement.
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Secondary outcome [1]
305889
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Fundal myometrial thickness measured on transvaginal ultrasound in milimeters.
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Assessment method [1]
305889
0
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Timepoint [1]
305889
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Single point observational measurement
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Eligibility
Key inclusion criteria
Group 1
Parity >/=1
> 6 months postpartum and premenopausal
Not breastfeeding for at least 2 months
Group 2
Parity >/=1
2-6 months postpartum exclusively breast feeding
Amenorrhoeic
Group 3
Parity >/=1
2-6 months postpartum bottle feeding from 6 weeks
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Minimum age
No limit
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Known uterine pathology (fibroids, arcuate uterus, bicornuate uterus)
Nulliparity
Intrauterine device in situ
Using hormonal contraception
Pregnant
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
A power calculation was carried out with the assistance of a University of Otago statistician, Professor Peter Herbison. Based on a 80% power and an a of 0.05, we need to recruit 22 women per group to be able to detect a difference of 15 mm in uterine cavity length between the groups.
Groups will be compared using a chi2 to establish:
1. A difference between cavity length in breastfeeding versus non-breastfeeding women
2. A difference between cavity length in postpartum women and non-postpartum women
3. A difference between fundal myometrial thickness in breastfeeding versus non-breastfeeding women
4. A difference between fundal myometrial thickness in postpartum women and non-postpartum women
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/01/2014
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
66
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5669
0
New Zealand
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State/province [1]
5669
0
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Funding & Sponsors
Funding source category [1]
288396
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Hospital
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Name [1]
288396
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Department of Women's and Children's Health Research Committee Grant
Department of Women's and Children's Health
Dunedin Public Hospital
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Address [1]
288396
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Department of Women's and Childrens Health,
Dunedin Public Hospital
201 Great King street
Private Bag 1921
Dunedin 9054
New Zealand
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Country [1]
288396
0
New Zealand
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Funding source category [2]
288397
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University
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Name [2]
288397
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University of Otago Research Grant
University of Otago
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Address [2]
288397
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University of Otago
364 Leith Walk,
Dunedin 9016.
PO Box 56,
Dunedin 9054,
New Zealand
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Country [2]
288397
0
New Zealand
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Primary sponsor type
Individual
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Name
Dr Helen Paterson
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Address
Department of Women’s and Children's Health,
Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin
9016
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Country
New Zealand
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Secondary sponsor category [1]
287099
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Individual
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Name [1]
287099
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Dr James Arcus
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Address [1]
287099
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Department of Women's Health
Dunedin Public Hospital
201 Great King Street
Private bag 1921
Dunedin 9054
New Zealand
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Country [1]
287099
0
New Zealand
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Secondary sponsor category [2]
287100
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Individual
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Name [2]
287100
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Dr Catherine Coffey
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Address [2]
287100
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c/o Dr Helen Paterson
Department of Women's and Children's Health,
Dunedin School of Medicine, University of Otago
PO Box 913
Dunedin 9016
New Zealand
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Country [2]
287100
0
New Zealand
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Secondary sponsor category [3]
287101
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Individual
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Name [3]
287101
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Gaye Ellis
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Address [3]
287101
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Department of Women’s and Children's Health,
Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin. 9016
New Zealand
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Country [3]
287101
0
New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290280
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Central Regional Ethics Committee
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Ethics committee address [1]
290280
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Central Regional Ethics Committee c/- Ministry of Health PO Box 5013 1 the Terrace Wellington 6011 New Zealand
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Ethics committee country [1]
290280
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New Zealand
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Date submitted for ethics approval [1]
290280
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Approval date [1]
290280
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12/12/2013
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Ethics approval number [1]
290280
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CEN/12/04/008
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Summary
Brief summary
Postpartum breastfeeding women have a higher risk of uterine perforation with insertion of an intrauterine contraception device (IUD). The mechanism for this is unknown, we hypothesize that a reduction in uterine cavity length is responsible for the increased perforation rate. Perforation is a serious complication, which requires surgery to remove the perforated IUD, resulting in a significant cost to the woman and the health service. Our objective is to compare uterine cavity length in exclusively breastfeeding women with non-breastfeeding women. A smaller sized cavity may explain the increased risk of perforation in breastfeeding women, leading to a change in practice.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
44826
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Dr Helen Paterson
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Address
44826
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Department of Women’s and Children's Health,
Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin 9016
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Country
44826
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New Zealand
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Phone
44826
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+64 027 2785900
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Fax
44826
0
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Email
44826
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[email protected]
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Contact person for public queries
Name
44827
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James Arcus
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Address
44827
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Department of Women's and Children's Health.
Dunedin Public Hospital.
201 Great King Street
Private Bag 1921
Dunedin 9054
New Zealand
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Country
44827
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New Zealand
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Phone
44827
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+64 3 474 0999
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Fax
44827
0
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Email
44827
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[email protected]
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Contact person for scientific queries
Name
44828
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James Arcus
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Address
44828
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Department of Women's and Children's Health.
Dunedin Public Hospital.
201 Great King Street
Private Bag 1921
Dunedin 9054
New Zealand
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Country
44828
0
New Zealand
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Phone
44828
0
+64 3 474 0999
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Fax
44828
0
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Email
44828
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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