Health Condition 1: null- Patients that has poor BISHOPs score for induction of labour
Conditions
Interventions
Intervention1: DINOPROSTONE SLOW RELAESE INTRA VAGINAL INSERT: This is a
kind of vaginal pessary (commonly known as propess or cervidil)which is thin transparent
polymeric slab which is rectangular in
Sponsors
ESIC PGIMSR Model Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1 Maternal age greater than 18 years. 2 Singleton pregnancy 3 Cephalic presentation 4 Reactive FHR in live foetus 5 Intact membranes 6 No previous uterine surgery 7 Bishopâ??s score less than 6 8 Absence of contraindications to vaginal delivery 9 And where Induction of labour is required -Post-term pregnancy, mild pre-eclampsia,diabetes mellitus,intrauterine growth restriction,IHCP, chronic hypertension in mother,gestational hypertension.
Exclusion criteria
Exclusion criteria: 1 Previous uterine and cervical surgery 2 Estimated foetal weight greater than 4500 gms or less than 1500gms 3 Antepartum Haemorrhage 4 Cephalo-pelvic disproportion 5 Moderate to severe preeclampsia. 6 Glaucoma and increase intraocular pressure. 7 Any contraindications of prostaglandins. 8 Active genital herpes 9 Cancer cervix 10 Grand multipara (Parity greater than 4 ) 11 Malpresentation 12 Vaginal bleeding of anyetiology 13 Bronchial asthma 14 Pyrexia 15 Patients hypersensitive to prostaglandins.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1 Induction to active labour time. 2 Induction to delivery time (spontaneous vaginal, operative vaginal and caesarean delivery) Timepoint: 1 Induction to active labour time. 2 Induction to delivery time (spontaneous vaginal, operative vaginal and caesarean delivery) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 Requirement of oxytocin 2 Mode of delivery 3 Abnormal CTG recordings 4 Uterine contraction abnormalities 5 Complications during labour 6 Apgar score being determined at 1 and 5 minutes, 7 Duration of stay in hospital was calculated. 8 Maternal complications- Nausea, Vomiting, Pyrexia, Intra partum temperature,PPH. Timepoint: 10 days | — |
Countries
India
Contacts
Public ContactDr Ritu Singh
ESIC PGIMSR Model Hospital, Basaidarapur, New Delhi
Outcome results
None listed