Post-term. Post-term pregnancy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Post-term primigravida mothers who have voluntarily agreed to participate in the study and have referred to Shariati Hospital in Bandar Abbas
Exclusion criteria
Exclusion criteria: Presence of spontaneous uterine contractions Previous uterine surgery Oligohydramnios Placenta previa Intrauterine Growth Restriction (IUGR) Cesarean section Umbilical cord prolapse Unexplained vaginal bleeding Contraindications to the administration of prostaglandins Contraindications to labor induction Presence of renal or hepatic disease Uncontrolled epilepsy Allergy Intolerance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Bishop Score. Timepoint: Baseline (before intervention): The Bishop score is measured at the baseline before the administration of the first dose of misoprostol.4 hours after each dose: The Bishop score is measured 4 hours after the administration of each dose of misoprostol to monitor initial changes in cervical ripening.8 hours after each dose: The Bishop score is measured 8 hours after the administration of each dose of misoprostol to track changes in cervical ripening.Finally, after achieving a Bishop score of 7 or after 6 doses: The Bishop score is measured either after achieving a score of 7 or after the administration of up to 6 doses of misoprostol, whichever occurs first. Method of measurement: Cervical dilation: Measured in centimeters using clinical examination by a specialist physician.Cervical effacement: Percentage of cervical thinning determined by clinical examination by a specialist physician.Cervical position: Position of the cervix (posterior, mid, anterior) assessed by clinical examination by a specialist physician.Cervical consistency: Softness, medium, or firmness of the cervix determined by clinical examination by a specialist physician.Fetal station: Position of the fetal head relative to the cervix assessed by clinical examination by a specialist physician. | — |
Countries
Iran (Islamic Republic of)
Contacts
Bandare-abbas University of Medical Sciences