Health Condition 1: O80- Encounter for full-term uncomplicated delivery
Conditions
Interventions
Intervention1: To Compare Oral Vs Vaginal Misoprostol Along With transcervical foleys catheter For induction of labor In Pregnant Women: All the women participating in the study will be inserted with
Sponsors
DRRPGMC Kangra
Eligibility
Inclusion criteria
Inclusion criteria: 1. fetal malpresentations 2. rupture of membranes/ pre-existing chorioamnionitis 3. previous uterine surgery( CS/ hysterotomy/ myomectomy/metroplasty) 4. multifetal gestation 5. antepartum bleeding 6. intrauterine fetal demise 7. Anencephaly 8. allergy to latex. 9. All contraindications to vaginal delivery (eg carcinoma cervix, structural pelvic abnormalities eg rachitic pelvis, Cephalopelvic disproportion.) 10. A previous attempted IOL during current pregnancy. 11. Placenta or vasa previa or cord presentation. 12. Active genital herpes. 13. Contraindications to prostaglandins (eg. Asthma, acute PID, hypersensitivity) 14. Any co-morbid surgical illness (eg. Pyelonephritis, etc) 15. Non reassuring fetal heart rate status.
Exclusion criteria
Exclusion criteria: 1. fetal malpresentations 2. rupture of membranes/ pre-existing chorioamnionitis 3. previous uterine surgery( CS/ hysterotomy/ myomectomy/metroplasty) 4. multifetal gestation 5. antepartum bleeding 6. intrauterine fetal demise 7. Anencephaly 8. allergy to latex. 9. All contraindications to vaginal delivery (eg carcinoma cervix, structural pelvic abnormalities eg rachitic pelvis, Cephalopelvic disproportion.) 10. A previous attempted IOL during current pregnancy. 11. Placenta or vasa previa or cord presentation. 12. Active genital herpes. 13. Contraindications to prostaglandins (eg. Asthma, acute PID, hypersensitivity) 14. Any co-morbid surgical illness (eg. Pyelonephritis, etc) 15. Non reassuring fetal heart rate status.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure induction-delivery interval.Timepoint: At the time of delivery (O HOURS- SINGLE OBSERVATION AT BASELINE) | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢ Incidence of hyperstimulation in two groups ( hyperstimulation defined as a single contraction lasting for more than 2 minutes or 5 or more contractions in 10 minutes with fetal heart rate changes)Timepoint: not applicable;delivery ratesTimepoint: Within 12 and 24 hours of induction of labor;Duration from IOL to active phase of labor ( defined as â?¥ three or more painful contractions in 10 minutes, 80% or greater effacement or cervical dilation of more than 3 cm).Timepoint: As mentioned above.;Incidence of chorioamnionitis ( defined as maternal temperature of more than 38 Celsius during and after labor).Timepoint: during and post 48 hours of delivery;Incidence of failure of Induction.Timepoint: 4 hours post 5th dose of misoprostol.;Meconium stained liquor.Timepoint: not applicable;Neonatal outcomes including: Apgar score (1 min & 5 min),Need of phototherapy (if required; duration),Intensive care admission (if required) Timepoint: After delivery;Proportion of women undergoing CS in both groups.Timepoint: after delivery of the woman. | — |
Countries
India
Contacts
Public ContactDr CD Sharma
DR.RPGMC, KANGRA AT TANDA HIMACHAL PRADESH
Outcome results
None listed