Delivery. Pregnancy, childbirth and the puerperium
Conditions
Interventions
Intervention 1: In first group, Isosorbide Mononitrate, 40 mg of this drug as Tablets will insert to the mother's vagina in Posterior Fornix. The dose can be repeated up to 3 times every 4 hours. The
Treatment - Drugs
Treatment - Devices
In first group, Isosorbide Mononitrate, 40 mg of this drug as Tablets will insert to the mother's vagina in Posterior Fornix. The dose can be repeated up to 3 times every 4 hours. The second and third
In the second group, a Foley catheter will be used. Catheter through the cervix will be inserted into the internal orifice of the cervix and balloon with 30 cc of air will be filled.
Sponsors
Qazvin University of Medical Sciences and Health Services
Eligibility
Sex/Gender
Female
Age
15 Years to 35 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: Women with term pregnancy that are candidates for induction of labor; Bishop score is less than 4; Presentation of fetus is to be vertex; Nulliparous women.Exclusion criteria: Having a spontaneous contraction; Rupture of membranes; Placenta previa.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cervical ripening. Timepoint: During at the study (every 4 hours). Method of measurement: Examination of the vagina. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of the third stage of labor (from complete expulsion of fetus to the exit of placenta). Timepoint: During at the study. Method of measurement: Observation and examination.;Method of Delivery. Timepoint: During at the study. Method of measurement: Observation and examination.;Maternal complications (Over stimulation of the uterus, postpartum hemorrhage, genital tract lacerations, headaches, nausea, vomiting, and dizziness). Timepoint: During at the study. Method of measurement: Observation and examination.;Duration of first stage of labor (including latent and active phases). Timepoint: During at the study. Method of measurement: Observation and examination.;Duration of the second stage of labor (from full dilatation to expulsion of fetus). Timepoint: During at the study. Method of measurement: Observation and examination.;Neonatal outcomes (Apgar score at first and fifth minutes, sex and birth weight, hospitalization of neonate in the Neonatal Intesive Care Uinte) will be measured. Timepoint: During at the study. Method of measurement: Observation and examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMaryam Iranipoor
Qazvin University of Medical Sciences and Health Services
Outcome results
None listed