Health Condition 1: O618- Other failed induction of labor
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Singleton pregnancy with cephalic presentation • Period of gestation >34 weeks • Bishop score • Reactive non stress test • Absence of true labor pains • Intact membranes
Exclusion criteria
Exclusion criteria: Uterine scar â?? Ante-partum Haemorrhage (APH) â?? Intra uterine fetal demise (IUFD) â?? Cervicovaginal infection â?? Severe fetal growth restriction (estimated fetal birth weight â?? Parity >3 â?? Heart disease, seizure disorder, severe anaemia, uncontrolled diabetes mellitus â?? Past history of uterine hyperstimulation, glaucoma, asthma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the induction delivery interval (IDI) with the two methods used for pre-induction cervical ripening a. Intravaginal dinoprostone pessary (10mg) b. Transcervical Foley catheter plus vaginal Misoprostol Timepoint: from time to induction to time of delivery of baby ( within 24 to 48 hours ) | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare 1. Change in Bishop score 2. Caesarean section (CS) rate 3. Rate of uterine tachysystole 4. Neonatal outcome [ Apgar score at 1 and 5 minutes, need of resuscitation, extent of resuscitation, perinatal asphyxia, meconium aspiration syndrome, need for respiratory support, need for neonatal intensive care unit (NICU) stay, neonatal sepsis, mortality] 5.Visual Analog Scale (VAS) score after instillation of cervical ripening agent Timepoint: Every 6 hours after instillation of agent | — |
Countries
India
Contacts
Post Graduate Institute Of Medical Education and R