Health Condition 1: O60-O77- Complications of labor and delivery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All pregnant women more than 18 years with single live intrauterine gestation, BISHOP score = 5, with intact membranes and reassuring fetal heart tracing and who are eligible for trial of labour after caesa-rean section at term. TOLAC eligibility criteria Women with Inter pregnancy interval greater than 18 months, scan estimated foetal weight less than 3.5 kg, non-recurrent indication for the previous section, the previous scar restricted to lower seg-ment, scar thickness more than 3 mm on ultrasono-graphy, and no clinical evidence of cephalopelvic disproportion will be considered eligible for TO-LAC.
Exclusion criteria
Exclusion criteria: The previous caesarean carried out for placenta pre-via, transverse lie, preterm and late in the second stage of labour, or clinical evidence of uterocervical infections after the previous caesarean section will not be considered eligible for TOLAC
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Induction - delivery intervalTimepoint: Primary outcome will be studied only at one time point (Time between Induction of labor and delivery of the baby) | — |
Secondary
| Measure | Time frame |
|---|---|
| MATERNAL OUTCOMES 1 Changes in bishop score 2 Duration of foley insitu 3 Oxytocin requirement & duration 4 Mode of delivery 5 Maternal pyrexia- Fever within 24 hrs of insertion- Fever will be defined as one or more recorded oral temperatures of 38°C or higher, & the diagnoses of chorioamnionitis & endometritis will be made by the managing obstetrician 6 Maternal adverse events following foley insertion-Rupture of membranes, Change in presentation of fetus. 7 Uterine hyperstimulation 8 Scar dehiscence 9 Abruption PERINATAL OUTCOMES 1 Meconium stained liquor 2 Pathological cardiotocogram 3 Cord prolapse 4 APGAR – APGAR will be measured at one minute & at five minutes after birth 5 Birth weight 6 NICU admission 7 Early Neonatal Sepsis 8 Still born Timepoint: seven days | — |
Countries
India
Contacts
Jawaharlal Institute Of Postgraduate Medical Education And Research