Induction of labour in nulliparous women at term Pregnancy and Childbirth
Conditions
Interventions
Randomisation will be completed using the Random.org random number generator in a random block of 4 or 8 by an investigator who is not involved in recruitment. The random allocation sequence will be p
Sponsors
Obstetric and gynecology department , UMMC
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Nulliparous women (no previous pregnancy beyond 20 weeks of gestation) 2. Unfavourable cervix (Bishop score =5) 3. Aged 18 years or older 4. =37 weeks of gestation at enrolment 5. Singleton birth 6. Cephalic presentation 7. Membrane intact 8. Normal pre-induction CTG (cardiotocography) 9. Contraction not more than 2:10
Exclusion criteria
Exclusion criteria: 1. Gross fetal anomaly 2. Allergy to latex or dinoprostone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Interval between the start of induction and vaginal delivery as recorded in patient medical records 2. Maternal satisfaction with the birth experience from induction of labour to delivery assessed using a numerical rating scale. A Likert scale will be used to determine whether the patient would recommend the method they had for induction of labour to a friend who needs to undergo induction of labour. This assessment will be done as soon as practicable after delivery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal: 1. Pain at 6 hours after start of induction assessed using a pain score scale (numerical rating scale 0 to 10) 2. Mode of delivery. This information will be taken from patient medical records as soon as possible before patient discharge from hospital. 3. Amniotomy. This information will be taken from patient medical records as soon as possible before patient discharge from hospital. 4. Intrapartum Oxytocin (excluding third stage use). This information will be taken from patient medical records as soon as possible before patient discharge from hospital. 5. Delivery blood loss. This information will be taken from patient medical records as soon as possible before patient discharge from hospital. Neonatal: 6. Apgar score at 5 minutes after birth. This information will be taken from patient medical records as soon as possible before patient discharge from hospital. 7. Umbilical cord arterial pH at birth. This information will be taken from patient medical records as soon as possible before patient discharge from hospital. 8. Admission to neonatal intensive care unit at birth and reason for admission. This information will be taken from patient medical records as soon as possible before patient discharge from hospital. | — |
Countries
Malaysia
Contacts
Public ContactNaumi Laboh
Outcome results
None listed