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Uterine Contractions Under Blue Light

Sponsor:
Collaborators:
Information provided by (Responsible Party):
September 28, 2018
October 2, 2018
October 2, 2018
September 6, 2018
June 2019   (Final data collection date for primary outcome measure)
Number of contractions per hour[ Time Frame: Immediately upon completion of intervention ]
Number of contractions per hour

Same as current
  • Binary proportion of 4 or less compared to 5+ contractions per hour[ Time Frame: Immediately upon completion of intervention ]
    Compare proportion proportions among each treatment group
 

Uterine Contractions Under Blue Light

Nightly Suppression of Contractions in At-Risk Pregnancies by the Infusion of Defused Blue Light

The objective in the current study is to test the hypothesis that nocturnal uterine contractions in preterm women can be suppressed by brief ocular exposure to blue light.The Olcese lab at Florida State University identified a novel interaction between the myometrial melatonin receptors and OT receptors in human myometrial cells (Sharkey et al. 2009), which may ultimately help to resolve certain issues surrounding idiopathic preterm labor. Their results consistently indicate that melatonin at physiological concentration sensitizes human myometrial smooth muscle cells to the contractile effects of OT (Sharkey et al. 2010).

Study participants will be pregnant women (gestational weeks 24 to 31+6 days) who present with preterm contractions. In the triage room, the study participant will be connected to the external tocometer from at least 19:00h (7 PM) to the following morning at 07:00h. Room lighting will be kept dim. Participants meeting inclusion criteria will be randomly allocated to blue light or red light. Baseline contractions will be measured. The allocated light mask will be applied for 2 intervals of 60 minutes each.There will be a 60 minute rest period after every 60 minute intervention period for comparison. Other than the application of the light mask, all routine standards of care deemed warranted by the obstetric provider for proper treatment of preterm labor will be followed. (ie antenatal steroids, tocolytics).
Interventional
N/A
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Randomized clinical trial
Masking: Interventional
Masking Description:Study group assignments will be placed in an opaque envelope which will be kept in the designated research area on Labor and Delivery. After informed consent is obtained, the coordinator will take one of the envelopes to determine the study group. The coordinator will not communicate with the care provide or the investigator regarding study group assignment.
Primary Purpose: Treatment
  • Device: Ocular light
    A light mask to which small light emitting diode(LED) lights emitting a blue or red color light will be used to deliver ocular light
  • Experimental: Experimental
    Ocular light will be applied via a mask. The participants allocated to the experimental group will receive blue light
  • Placebo Comparator: Control
    Ocular light will be applied via a mask. The participants allocated to the control group will receive red light
 
Recruiting
30
Same as current
June 2019
June 2019   (Final data collection date for primary outcome measure)
Inclusion Criteria: - Pregnant - Gestational age: 24 to 31 (+6 days) week of pregnancy - Uterine contractions - First episode of preterm labor Exclusion Criteria: - Visual impairment (legally blind) - Multiple pregnancy - Current progesterone treatment - Preeclampsia - Renal disease - Current chlamydia or gonorrhea infections - Cocaine or opiate use - Nightshift work in the past week
Sexes Eligible for Study: Female
18 Years and older   (Adult, Older Adult)
No
United States
 
 
Yes
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD:
University of South Florida
Principal Investigator: Judette M Louis, MD University of South Florida
September 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP
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