Health Condition 1: null- pregnant patients 40 weeks gestation with single cephalic pregnancy & previous one low segment cesarean section
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Singleton pregnancy • Previous one low segment cesarean section, no other uterine scar or previous rupture • Gestation beyond 40 weeks • Cephalic presentation
Exclusion criteria
Exclusion criteria: • Inter-conceptional period less than 18 months • Estimated fetal birth weight > 4kg • Poor modified bio-physical profile (Amniotic fluid index • Poor dating ( not sure of dates, no ultrasonography in first trimester or two serial ultrasounds 4 weeks apart in second trimester) • Premature rupture of membranes/ chorio-amniotis • Premature rupture of membranes/ chorio-amniotis • Evidence of fetal distress at admission • Intra-uterine fetal death • Any maternal disease ie hypertension, diabetes, renal disease, liver disease, cardiac disease, epilepsy or any chronic medication • Any contraindication for vaginal delivery ( cephalo-pelvic disproportion ruled out) • Type of caesarean section not known ( classical or low segment)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the proportion of women entering labor after use of mifepristone alone as compared to sweeping stretching of cervix or use of trans-cervical folleyâ??s catheter.Timepoint: 48 hours after intervention & subsequently delivery of fetus | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢ Proportion of women vaginally delivered in each group â?¢ Proportion of women with cesarean section in each group â?¢ Duration of labor in women in each group â?¢ Need and amount of oxytocin required in each group â?¢ Proportion of women with scar dehiscence/ rupture in each group â?¢ Neonatal outcomes â?? Timepoint: 48 hours | — |
Countries
India
Contacts
DR RPGMC KANGRA (HP)