Effective Communication in VBAC Counseling
Official title: ComPARE: Effective COMmunication in Perinatal cARE Cross-sectional Study
Run by IRCCS San Raffaele · NCT07919145 · Data updated 2026-11-12
This study tests how clearly doctors and midwives explain VBAC options during prenatal visits and whether patients feel understood.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 44 Years |
| Sex | Women only |
| Enrollment | 50 (estimated) |
| Sponsor | IRCCS San Raffaele Academic / other |
| Locations | 1 site (Milan, MI) |
| Status | Recruiting |
| Started | September 16, 2026 |
| Main results expected | September 16, 2029 |
| Study ends | September 16, 2031 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT07919145 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Pregnant individuals with a singleton pregnancy, 33-37 weeks gestation, aged 18-44, with a history of at least one prior cesarean delivery, planning delivery at IRCCS Ospedale San Raffaele, able to communicate in Italian and consent to audio recording.
✕Probably not a fit
Individuals not considering VBAC, not meeting gestational age or prior cesarean criteria, or unwilling to have audio-recorded consultations may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
ComPARE is a cross-sectional observational study that analyzes the clarity and usefulness of communication between healthcare professionals and pregnant people considering VBAC. The project uses the TouCAN Codebook to identify potential misunderstandings in routine VBAC consultations. It involves 50 pregnant individuals and 12 clinicians (6 obstetricians/gynecologists and 6 VBAC-expert midwives) at IRCCS Ospedale San Raffaele in Italy, over a 5-year period with 2 years of enrollment. The goal is to see if communication misunderstandings relate to patients’ perceived quality of the consultation and to improve shared decision-making in perinatal care.
Why it matters
Potential benefit: Better understanding of communication gaps could lead to clearer counseling and more informed VBAC decisions.
How similar studies have gone: Previous work applying structured communication analyses in perinatal care suggests potential to identify actionable misunderstandings, though this exact approach in VBAC counselling is relatively novel in this setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria 1. Singleton pregnancy. 2. Gestational age between 33 and 37 weeks at the time of the prenatal consultation. 3. Maternal age between 18 and 44 years, inclusive. 4. Ability to communicate in Italian and understand the study procedures. 5. History of at least one previous caesarean delivery. 6. Planned delivery at IRCCS Ospedale San Raffaele. 7. Provision of written informed consent for study participation and audio recording of the consultation. Exclusion Criteria 1. Multiple pregnancy. 2. Obstetric emergencies or urgent clinical conditions requiring immediate medical intervention that would prevent the planned prenatal counselling consultation. 3. Inability to provide valid informed consent. 4. Refusal of audio recording of the consultation. 5. Clinical or logistical circumstances preventing participation in the interview following the consultation.
Where it's running
-
IRCCS Ospedale San Raffaele
Milan, Mi, Italy Recruiting
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Pregnant Women Living with HIV on Bictegravir/Emtricitabine/Tenofovir Alafenamide
This study looks at how B/F/TAF is used in pregnant women with HIV and whether it helps maintain viral suppression from before conception through delivery.
-
Pelvic Floor Training and a Modified Lumbopelvic Belt for Symphysis Pubis Pain in Pregnancy
This study tests whether pelvic floor muscle training plus a modified lumbopelvic belt can reduce pain and improve function for pregnant women with symphysis pubis pain.
-
Innovative Multidisciplinary and Virtual Care for IBD in Pregnancy
This study tests a dedicated IBD pregnancy care model, including a new virtual approach, to see if it improves access and quality of care for pregnant people with Crohn's disease or ulcerative colitis.
-
Compare spinal-epidural versus general anesthesia for babies after cesarean delivery
This trial tests whether the type of anesthesia used for cesarean delivery affects newborn hearing in babies.
-
Pregnant women weight-management support via an app and care model
Aims to try a smartphone-based weight-management program plus professional support for pregnant women to see if it helps manage gestational weight and promote healthy behaviors.
-
Two-Door Doulas: Enhanced vs Standard Medicaid Doula Care in Pregnancy
This trial tests whether an enhanced, earlier, and more frequent doula support program helps pregnant people on Medicaid feel less depression and anxiety after birth compared with the standard Medicaid doula care in Florida.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.