Labor, normal delivery. Encounter for full-term uncomplicated delivery
Conditions
Interventions
Intervention 1: Intervention Group 1: Combined medication group will receive dexamethasone 8 mg intramuscular injection 12 hours before the onset of induction of labor and hyoscine 20 mg intravenous i
Sponsors
Ardabil University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Singleton pregnancy Term pregnancy (37-42 weeks) Cephalic presentation Spontaneous onset of labor Maternal age between 18-45 years
Exclusion criteria
Exclusion criteria: Underlying maternal disease Known fetal abnormalities Placental abnormalities Preterm labor Multiple gestations Contraindications to dexamethasone or hyoscine History of cesarean section or uterine surgery Fetal distress at admission
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of first stage of labor. Timepoint: From the beginning of the first stage of labor (4 cm cervical dilation) until its completion (full cervical dilation). Method of measurement: Time recording by midwife or obstetrician using the digital clock in the labor ward.;Duration of second stage of labor. Timepoint: From the beginning of the second stage of labor (full cervical dilation) until the delivery of the baby. Method of measurement: Time recording by midwife or obstetrician using the digital clock in the labor ward.;Neonatal Apgar score at 1 minute. Timepoint: First minute after birth. Method of measurement: Standard Apgar scoring system by pediatrician or midwife.;Neonatal Apgar score at 5 minutes. Timepoint: Fifth minute after birth. Method of measurement: Standard Apgar scoring system by pediatrician or midwife.;Postpartum hemorrhage volume. Timepoint: From placental delivery until 2 hours after childbirth. Method of measurement: Measurement of blood volume using calibrated drape and weighing blood-soaked gauzes.;Postpartum pain score. Timepoint: 2, 6, and 12 hours after childbirth. Method of measurement: Visual Analogue Scale (VAS) with score of 0 to 10.;Maternal satisfaction score. Timepoint: 24 hours after childbirth. Method of measurement: Standard childbirth satisfaction questionnaire with 5-point Likert scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| ????? ??? ??????. Timepoint: During labor, from active phase until placental delivery. Method of measurement: Standard checklist of obstetric complications completed by obstetrician.;Neonatal birth weight. Timepoint: Immediately after birth. Method of measurement: Calibrated digital baby scale with 10-gram precision.;Neonatal birth length. Timepoint: Immediately after birth. Method of measurement: Infant stadiometer with 0.5 cm precision.;Need for maternal postpartum interventions. Timepoint: Up to 24 hours after childbirth. Method of measurement: Standard checklist of postpartum interventions completed by obstetrician.;Maternal postpartum complications. Timepoint: Up to 48 hours after childbirth. Method of measurement: Standard checklist of maternal postpartum complications completed by obstetrician.;Neonatal postpartum complications. Timepoint: Up to 48 hours after birth. Method of measurement: Standard checklist of neonatal complications completed by pediatrician.;Need for neonatal intensive care unit admission. Timepoint: Up to 48 hours after birth. Method of measurement: Documentation of NICU admission by pediatrician.;Frequency of uterine contractions. Timepoint: During labor, from active phase until full cervical dilation. Method of measurement: Counting number of contractions in 10 minutes by midwife.;Intensity of uterine contractions. Timepoint: During labor, from active phase until full cervical dilation. Method of measurement: External tocodynamometer and midwife report. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactTorkan Barzegari Sedghiani
Ardabil University of Medical Sciences
Outcome results
None listed