Health Condition 1: O80- Encounter for full-term uncomplicated delivery
Conditions
Interventions
Intervention1: controlled release dinoprostone vaginal insert (Propess): Propess is placed in the posterior fornix of the vagina with about 2 cm of the tape is left outside the vagina, the women is in
Sponsors
Sultan Qaboos University Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Singleton pregnancy Term pregnancy of 37 weeks or more Cephalic presentation Bishop score 6 or less, Intact or ruptured membranes. The following women will be excluded.
Exclusion criteria
Exclusion criteria: Previous scared uterus (cesarean section, extensive myomectomy involving the uterine cavity, previous uterine rupture or dehiscence), Para 4 or more, multiple pregnancy, estimated fetal weight more than 4 kilograms, abnormal CTG (cardiotocogram). Any contraindication for vaginal delivery (placenta previa, malpresentation, active genital herpes infection). Women with contraindication or hypersensitive to dinoprostone.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome - Induction to vaginal delivery interval - Need for oxytocin to augment labour occurrence of hyper stimulation, non-reassuring CTG - Mode of delivery - APGAR score, cord pH & NICU admissions - Maternal morbidity during labour Sample size is calculated from previous 6 years data Timepoint: End point for cervical ripening are strong uterine contractions , bishop score 6. Induction of labour will be considered successful if vaginal delivery within 24 hours of induction. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient satisfaction (a scale of 100) after delivery. - Cost effective analysis of the two induction methods - Subgroup analysis based on the Bishop score and parity. Timepoint: till delivery | — |
Countries
Oman
Contacts
Public ContactAttibele Manjunath Manjunatha
Sultan Qaboos University Hospital
Outcome results
None listed