Health Condition 1: O00-O9A- Pregnancy, childbirth and the puerperium
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women with Cephalic singleton pregnancy from 34 to 41 weeks with a specific indication for induction of labor such as Abruptio placenta , chorioamnionitis, gestational hypertension, preeclampsia, eclampsia, Prelabor rupture of membrane, postterm pregnancy, Diabetes mellitus, chronic hypertension, Fetal growth restriction, Oligohydraminos
Exclusion criteria
Exclusion criteria: Estimated fetal weight =1.500 kg to =3.5 kg. • Multifetal gestation • Non-reassuring fetal heart rate tracing • Poor biophysical profile • Congenital anomalies of the fetus • Intrauterine death of the fetus • Previous caesarean delivery or other uterine surgery (myomectomy, hysterotomy) • History of ante partum hemorrhage including placenta previa, vasa previa • Cephalopelvic disproportion • Any contraindication of vaginal delivery • Cervical cancer • History of cervical tear or any surgery • Contraindications & hypersensitivity to prostaglandins • Parity=5
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The induction to active phase interval, induction-to-delivery interval. • Rate of successful vaginal birth within 24 hours. • Rate of caesarean section and operative vaginal deliveries.Timepoint: baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal outcome: • Uterine hyperstimulation (defined as either tachysystole or hypertonus with a non reassuring fetal heart-rate pattern on cardiotocography). • Maternal infection (defined as a temperature = 38°C at any time during labour or delivery, wound infection either episiotomy or cesarean scar site, endometritis. • Primary Postpartum hemorrhage • Uterine rupture. Fetal outcome: • Still birth, Meconium aspiration syndrome & APGAR score. • Need of Neonatal intensive care (NICU). Timepoint: 6 weeks | — |
Countries
India
Contacts
Government Medical college and hospital, Chandigarh