Real-time AI risk dashboard during labor to see if cesarean is avoided for first-time moms

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

ORACLE-AI is a single-center, open-label trial where first-time mothers in labor are randomized to receive a real-time AI risk dashboard within their electronic health record or standard intrapartum care. The study uses a 1:1 randomization at labor onset to compare outcomes, with the AI dashboard providing continuous estimates of cesarean delivery risk. The primary goal is to show non-inferiority for unplanned cesarean delivery rates, with potential secondary improvements in maternal and neonatal outcomes. The intervention is software-based and delivers ongoing risk estimates during labor. Eligible participants are nulliparous, singleton pregnancies in cephalic presentation at ≥37 weeks, admitted in labor or undergoing induction/augmentation, and planned for trial of labor at Hadassah-Hebrew University Medical Center.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age ≥ 18 years at the time of consent
* Able and willing to provide written informed consent
* Nulliparous (no prior birth ≥ 24 weeks' gestation)
* Singleton live pregnancy
* Cephalic (vertex) fetal presentation
* Gestational age ≥ 37+0 weeks
* Admitted to the labor ward in labor (cervical dilation ≥ 3 cm with regular contractions) or undergoing induction or augmentation of labor with intent to proceed to vaginal delivery
* Planned trial of labor (no scheduled or elective cesarean delivery)
* Receiving intrapartum care at Hadassah-Hebrew University Medical Center, Mount Scopus campus

Exclusion Criteria:

* Planned or elective cesarean delivery prior to labor admission
* Multifetal gestation
* Non-cephalic fetal presentation
* Gestational age \< 37+0 weeks
* Major fetal anomaly expected to affect labor or neonatal management
* Contraindication to vaginal delivery (e.g., placenta previa, invasive placentation, prior uterine surgery precluding labor)
* Category III fetal heart rate tracing on admission requiring immediate delivery
* Maternal hemodynamic instability or other life-threatening condition necessitating urgent surgical or critical-care intervention
* Inability to provide informed consent due to cognitive impairment, intoxication, or other incapacity
* Concurrent participation in another interventional obstetric study that could confound outcomes or increase risk

Where it's running

• Hadassah Mt. Scopus Hebrew University Medical Center
  Jerusalem, Israel, Israel Recruiting

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• How information about planned labor induction affects childbirth experience

  This project will see if being well informed about a planned induction of labor and patterns of social media use change the childbirth experience for people having a scheduled induction.

  Recruiting Turku University Hospital · Turku · NCT07272785

• 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.

  Recruiting Centre de Recherches et d'Etude sur la Pathologie Tropicale et le Sida · Paris · NCT07921472

• 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.

  Recruiting Kahramanmaras Sutcu Imam University · Kahramanmaraş · NCT07919548

• Effective Communication in VBAC Counseling

  This study tests how clearly doctors and midwives explain VBAC options during prenatal visits and whether patients feel understood.

  Recruiting IRCCS San Raffaele · Milan, MI · NCT07919145

• 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.

  Recruiting at 5 sites Austin Health · Hobart and 6 other locations · NCT07916727

• 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.

  Recruiting Second Affiliated Hospital of Wenzhou Medical University · Wenzhou · NCT07852624

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.