New device aims to prevent birth injuries during vaginal delivery
NCT ID NCT03973281
First seen Jun 26, 2026 · Last updated Sep 01, 2026 · Updated 2 times
Summary
This study tests a device called Materna Prep, which is used for 30-90 minutes during early labor to gently stretch the vaginal canal and pelvic floor. The goal is to reduce muscle injuries that can happen during vaginal birth. 420 first-time mothers or those with a prior early pregnancy loss are participating, and they are randomly assigned to use the device or receive standard care. Researchers will check for pelvic muscle damage using ultrasound up to 12 months after delivery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Materna Prep Device
- What this could lead to
- If it works, this device could reduce pelvic floor injuries during childbirth, potentially lowering the risk of pelvic organ prolapse later in life.
- What could go wrong
- This is a relatively small, early-stage study. The device is used only once during labor, and long-term benefits are not yet proven. There may be discomfort or unforeseen complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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420 people
The number who actually took part.
- Started
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Dec 2019
- Finished
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Jul 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Criteria for inclusion 1. Subject is scheduled for vaginal birth. 2. Subject is gestating a single fetus. 3. Subject is nulliparous, or had a previous pregnancy terminated within 24 weeks gestation. 4. Subject is able and willing to comply with the protocol required follow-up visits. 5. Subject is able and willing to provide written informed consent prior to enrollment. 6. In the opinion of the Investigator, the subject has sufficient mental capacity to understand the informed consent form (ICF), comply with the protocol requirements, and provide clinically relevant and reliable feedback regarding their experience with the device. 7. Subject receives epidural anesthesia during labor prior to enrollment. 8. Subject is 18 years of age or older at time of consent. Exclusion Criteria: Criteria for exclusion 1. Subject has high likelihood of less than 1 hour of potential device dilation time after she arrives at the hospital. 2. Subject is planning or requires a Caesarean-section prior to randomization. 3. Subject begins labor with less than 36 weeks gestation. 4. Subject has a neurological disorder that could cause pelvic floor dysfunction, such as multiple sclerosis or spinal cord injury. 5. Subject has a collagen-associated disorder that affects tissue elasticity, such as scleroderma or Ehlers-Danlos syndrome. 6. Subject has a localized (genital tract) or systemic infection. 7. Subject has a medical history which could lead to pelvic floor dysfunction, such as prior pelvic fractures, pelvic soft tissue injuries, or vaginal surgery. 8. Subject has any general health condition or systemic disease that may represent, in the opinion of the Investigator, a potential increased risk associated with device use or pregnancy. 9. Subject has placenta previa or vasa previa. 10. Subject has known significant chromosomal or structural fetal anomalies. 11. Subject has a category 2 and/or 3 fetal tracing that is unresolved. 12. Subject is observed to have friable, denuded, or markedly edematous vaginal tissue during the course of labor.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baylor College of Medicine
Houston, Texas, 77030, United States
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Christiana Care - Center for Women's & Children's Health
Newark, Delaware, 19718, United States
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Columbia University Irving Medical Center
New York, New York, 10032, United States
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El Camino Hospital
Mountain View, California, 94040, United States
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Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19140, United States
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La Follette Ob/Gyn
Greenbrae, California, 94904, United States
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Lewis Katz School of Medicine at Temple
Philadelphia, Pennsylvania, 19140, United States
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Maximos Ob/Gyn
League City, Texas, 77573, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
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New York Presbyterian -Queens (NYPQ)
Flushing, New York, 11355, United States
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Oregon Health and Science University
Portland, Oregon, 97239, United States
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Rutgers New Jersey Medical School
Newark, New Jersey, 07103, United States
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Rutgers Robert Wood Johnson University Hospital
New Brunswick, New Jersey, 08901, United States
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The Cooper Health System
Camden, New Jersey, 08103, United States
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The Healing Sanctuary
Idaho Falls, Idaho, 83404, United States
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The Metro Health System
Cleveland, Ohio, 44109, United States
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The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
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USF Ob/Gyn
Tampa, Florida, 33606, United States
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Univ of Utah Ob/Gyn
Salt Lake City, Utah, 84108, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
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University of California Los Angeles
Los Angeles, California, 90095, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can strength training steady the walk and strengthen the pelvic floor after menopause?
- Can a biological mesh improve pelvic floor surgery?
- Can targeted exercises ease mild pelvic organ prolapse without surgery?
- AI may predict which pelvic floor therapy works best
- Can a small pressure drop make prolapse surgery less painful?
- Could a simple surgical step make hysterectomies safer?