Investigating the effect of dexamethasone administration on the progress of labor in pregnant women referred to Ba'ath Sanandaj Hospital in 1402.
Conditions
Interventions
First, NST to evaluate fetal heart rate and TOCO to check uterine contractions as well as preliminary tests are taken from pregnant mothers. All patients undergo vaginal examination by the researcher
Sponsors
Sanandaj University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Term(37 w) nuli par cephalic
Exclusion criteria
Exclusion criteria: multi parati rupther of membran cpd(cephalopelvic disproportion) Iugr(intrauterin growth restrition) oligohydroaminus fetal distres
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes:1. The average number of received oxytocin units (measurements: during the entire active phase - variable measurement method: dropper and the number of oxytocin drops included in the medical record)2. The average number of misoprostol pills received (measurements: in the entire latent phase - how to measure based on the number of pills taken in the medical record)3. The average time interval between the latent phase and the start of the active phase of labor (measurement period: from the beginning of induction until reaching 5 to 6 cm dilatation - variable measurement method: vaginal examination)4. The average duration of the active phase of labor (measurement period: from dilation of 5 to 6 cm until dilation reaches 10 cm - method of variable measurement: vaginal examination)5. The average rate of cervical dilation (measurement interval: the rate of progress of cervical dilation every one hour from the start of induction to the dilation of 10 cm - how to measure the variable: partograph)6. The average duration of the second stage of labor (measurement period: from dilation of 10 cm to the complete exit of the fetus-variable measurement method: partograph)7. The average time interval between the beginning of induction of labor and the birth of the baby (measurement period: from the beginning of induction to the complete removal of the placenta and fetus-variable method of measurement: partograph)8. The average time interval of spontaneous rupture of the water bag. Timepoint: The time interval between birth according to the registry data until the time of entering the studyBy measuring the height and weight of the studied women and the result of dividing the weight by the square of the height in kilograms per square meterBased on the first ultrasound of the first trimester, the fetus contains FHRBaby weight at birth using a baby scale in gramsThe gender of the baby is girl or boyThe advance score is the scoring of the pregnant mother's vaginal examin | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary consequences:1. The frequency of cesarean delivery and its causes (measurement period: from the beginning of induction to the end of the study (throughout the study) - variable measurement method: being monitored by a gynecologist throughout the study)2. Neonatal outcomes including the average Apgar score of the first minute and the fifth minute (measuring periods: the first and fifth minutes after the birth of the baby - variable measurement method: it includes five components: 1) color, 2) heart rate, 3) reflexes, 4) muscle tone, and 5) respiration, each of which is scored 0, 1, or 2).3. The frequency of hospitalization of newborns in the intensive care unit (measurement periods: after the birth of the baby - variable measurement method: newborn visits by gynecologists). Timepoint: The time interval between birth according to the registry data until the time of entering the studyBy measuring the height and weight of the studied women and the result of dividing the weight by the square of the height in kilograms per square meterBased on the first ultrasound of the first trimester, the fetus contains FHRBaby weight at birth using a baby scale in gramsThe gender of the baby is girl or boyThe advance score is the scoring of the pregnant mother's vaginal examination to determine the type of treatment during childbirth. In this, scoring 5 parameters including 1) cervical dilatation 2) relaxation 3) station4) Consistency 5) The position of the cervix is given 0, 1, 2 and 3 points and then the total score of each mother before delivery is calculated.The amount and dose of oxytocin used is for the labor induction process.The amount and dose of misoprostol taken.The time interval between the beginning of induction of labor and the beginning of the active phase of labor (dilation of the cervix 5 to 6 cm) isThe time interval between dilation of 5 to 6 cm and dilatation of 10 cm of the cervixThe rate of progression of cervical dilation every hour from the start of in | — |
Countries
Iran (Islamic Republic of)
Contacts
Public Contactsonia ranjbar badrloo
Sanandaj University of Medical Sciences
Outcome results
None listed