Pregnant women who have previously successfully given birth vaginally and require induction of labor for specific reasons Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 years and above 2. Gestational age of > 37 weeks at enrolment 3. Scheduled induction of labour 4. Viable pregnancy 5. Cephalic presentation 6. Singleton pregnancy 7. Unfavourable cervix (Bishop Score = 5) 8. Intact membranes 9. Reassuring pre induction fetal cardiotocography (CTG) Added 18/06/2019: 10. Must have their own transport and live within 30km of the hospital
Exclusion criteria
Exclusion criteria: 1. Allergic to latex 2. Nulliparous 3. Previous uterine scar (caesarean/myomectomy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Maternal satisfaction with their care will be measured using the visual numerical rating scale (from 0-10) after delivery. 2. The percentage of women delivering during “working hours” (8am to 5pm). | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal outcomes will be determined using data retrieved from patients' case notes after delivery: 1. Intervention to delivery interval 2. Membrane rupture to delivery interval 3. Mechanism of membrane rupture 4. Oxytocin augmentation 5. Use of additional method(s) for cervical ripening 6. Use of regional analgesia in labour 7. Mode of delivery 8. Estimated blood loss 9. Fever single or more readings of temperature =38oC (intrapartum and day 1 postpartum), diagnosis of chorioamnionitis or endometritis 10. Duration of hospital stay 11. Date and time of catheter evacuated/expulsed Neonatal outcomes will be determined using data retrieved from patients' case notes after delivery: 1. The physical condition of newborn infants will be measured using the Apgar score at 1 and 5 minutes. 2. Arterial cord pH 3. Birth weight 4. Neonatal admission | — |
Countries
Malaysia