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Can warm fluid during labor prevent baby breathing problems?

NCT ID NCT07274527

First seen Jan 11, 2026 · Last updated Jun 22, 2026 · Updated 31 times

Summary

The PEARL trial is testing whether infusing warm sterile fluid into the uterus during labor can reduce breathing problems in newborns when the amniotic fluid is stained with thick meconium. About 320 pregnant women at 36 weeks or later will be randomly assigned to receive either the fluid infusion or standard care. The study also checks for inflammation and brain injury markers in cord blood and follows up with families when the child is 12 months old.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • Froedtert Hospital and Medical College of Wisconsin Birth Center

    RECRUITING

    Milwaukee, Wisconsin, 53045, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

warm lactated ringer's solution infused into the uterus

What this could lead to

If it works, this could provide a simple, standardized way to reduce breathing problems in newborns exposed to thick meconium during labor.

What could go wrong

This is a relatively small trial (320 participants) and earlier studies on amnioinfusion had mixed results. The procedure may not significantly improve outcomes or could cause complications.

Conditions

The condition(s) this trial relates to.

acidosis disorder perinatal asphyxia Perinatal Death perinatal disease pregnancy disorder with abortive outcome

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.