Labor Induction in Pregnant Women with Obesity (Body Mass Index BMI = 30).. Failure of induction of labor
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Pregnancy Status: Pregnant women at 37 to 41 weeks of gestation (term and post-term pregnancy). Body Mass Index (BMI): Have a BMI greater than 30. Indication for Induction: Have a medical indication for induction of labor with misoprostol.Health Status: Be in good general health (as determined by medical history and clinical judgment). No Contraindications: Have no known contraindications to the use of misoprostol (e.g., no history of previous cesarean delivery or major uterine surgery in this context*).
Exclusion criteria
Exclusion criteria: Any medical or obstetric conditions that make the use of misoprostol dangerous (e.g., prior cesarean delivery, multiple gestation, placental problems, etc.). The patient’s unwillingness to participate in the study or to sign informed consent. Any known allergy or sensitivity to misoprostol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time interval, measured in hours, from the administration of the first dose of misoprostol to the complete birth of the baby. Timepoint: The exact time of the first dose administration and the time of birth will be meticulously recorded in the clinical reports. The difference between these two times will be calculated. Method of measurement: This variable is the most direct indicator for assessing the efficacy of the intervention (different doses of misoprostol). A shorter duration indicates a higher efficacy of the drug dose in accelerating the labor process.;The proportion of deliveries concluded vaginally without requiring surgical intervention (cesarean section) to the total number of deliveries in each group, reported as a percentage. Timepoint: The mode of delivery (vaginal or cesarean) will be recorded for each patient in the research dataset. Method of measurement: This outcome measures the ultimate goal of labor induction. A higher rate in one group indicates the superiority of that intervention in achieving a lower-risk, physiological birth. | — |
Countries
Iran (Islamic Republic of)
Contacts
Iran University of Medical Sciences