Labor induction. Other failed induction of labour
Conditions
Interventions
Intervention 1: Intervention group: : Vaginal washing with normal saline 0.9%(20 cc) is performed once before Misoprostol insertion (25 micrograms vaginal in the fornix posterior vaginal ) with a s
Sponsors
Research vice-chancellorship, Guilan University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: pregnant women ages 18 to 40 Having 38 to 40 week pregnancy Having singleton pregnancy Having normal fetal heart rate (FHR) Having cephalic presentation Not having a ban on normal vaginal delivery (cephalopelvic disproportion) Having no uterine contractions spontaneously and effectively (less than three contractions in 30 minutes) Having a Bishop score of less than 6 Estimation of fetal weight less than 4000 grams Candidates for termination of pregnancy (post-term pregnancy (42 weeks and more), oligohydramnios, decreased fetal movements, abdominal biophysical profile score, maternal diabetes mellitus, intrauterine growth retardation, and preeclampsia)
Exclusion criteria
Exclusion criteria: Having sensitivity to known prostaglandin (with questions like skin manifestations, hives and rash, dyspnea and coughing, chest pain and blurred vision after taking prostaglandin) Having vaginal bleeding Preterm rupture of membranes Having a history of previous cesarean section or scar on the uterus Having fetal anomaly Having doubts about Chorioamnionitis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success of labor induction. Timepoint: Post-partum. Method of measurement: Duration from induction to active phase of labor. | — |
Secondary
| Measure | Time frame |
|---|---|
| The duration of vaginal Misoprostol to successful labor induction. Timepoint: During labor. Method of measurement: hour.;Vaginal PH. Timepoint: Before and after vaginal washing. Method of measurement: Nitrazine paper.;Duration from induction to end of first stage of labor. Timepoint: During labor until the end of the first stage of labor. Method of measurement: hour.;Duration from induction to active phase of labor. Timepoint: During labor until the active phase of labor. Method of measurement: hour.;Maternal complications (tachysystole, hyperstimulation, etc.). Timepoint: During labor. Method of measurement: Patient complaint.;Neonatal complications include meconium excretion, Apgar score less than 7, admission to the NICU. Timepoint: During labor until after delivery. Method of measurement: Observations by doctor. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactZakieh Bakhshipour
Rasht University of Medical Sciences
Outcome results
None listed