To study if starting labour pain artificially at 40 weeks instead of waiting till 41 weeks in women with previous one Lower segment caesarean section eligible and willing for Termination Of Labour After Caesarean, improve the vaginal delivery rates.

Comparison of induction of labour versus expectant management at 40 weeks on rates of successful vaginal birth in women with previous one caesarean section: A Randomized Controlled Trial and a pilot study

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2018/09/015719

Enrollment

Registered

2018-09-14

Start date

Unknown

Completion date

Unknown

Last updated

2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O099- Supervision of high risk pregnancy, unspecified

Interventions

Intervention1: Induction of labour at 40 weeks: Intervention arm will be induced with Foleys catheter at 40 weeks Control Intervention1: Expectant management till 41 weeks: This group will be managed

Eligibility

Inclusion criteria

Inclusion criteria: Women with previous single lower segment caesarean delivery with singleton pregnancy at term with vertex presentation eligible for Trial Of Labour After Caesarean

Exclusion criteria

Exclusion criteria: Women with any other complications like preeclampsia, diabetes, oligohydramnios or intrauterine growth retardation, multiple gestations, babies with malformations, women not willing for trial of labour or requiring induction of labour for any other maternal or fetal condition and women with poor dating

Design outcomes

Primary

Measure	Time frame
Successful vaginal birth rates in women with previous one caesarean sectionTimepoint: At the time of delivery	—

Secondary

Measure	Time frame
Maternal complications like scar rupture, post partum hemorrhage, sepsis and any mortalityTimepoint: From intervention till 48 hours after delivery;Perinatal outcome in terms of birth asphyxia, respiratory morbidities, hyperbilirubinemia, sepsis, perinatal mortality.Timepoint: From intervention till 48 hours after delivery	—

Countries

India

Contacts

Public ContactDr Rajalakshmi K

JIPMER

gowridorai@hotmail.com9894348518

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 8, 2026