Induction of labour at 39 weeks or beyond in multiparous women with a favourable cervix

Induction of labour at 39 weeks or beyond in multiparous women with a favourable cervix: A randomised controlled trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN15646866

Enrollment

160

Registered

2017-02-08

Start date

2017-02-14

Completion date

Unknown

Last updated

2019-10-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy pregnancy at or after 39 weeks gestation Pregnancy and Childbirth Healthy pregnancy at or after 39 weeks gestation

Interventions

Participants undergo an internal (vaginal) digital examination to assess the favourability of their cervix. Women with an unfavourable cervix (e.g. cervical opening less than 2 cm dilated) are ineligi

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: 1. Aged over 18 years 2. At least one previous vaginal birth (birth after gestational age of 28 weeks and birth weight of over 1kg) 3. Gestational age of 38 weeks to 40 weeks at enrollment 4. Favourable cervix (Bishop Score = 6 and likely to be suitable for amniotomy)

Exclusion criteria

Exclusion criteria: 1. Previous caesarean section 2. Previous uterine surgery or uterine injury 3. Indication or anticipation (maternal or fetal) for early or urgent delivery 4. Contraindication for vaginal delivery

Design outcomes

Primary

Measure	Time frame
1. Delivery time (week day 9 am to 5 pm or other) is assessed from hospital records after hospital discharge 2. Maternal satisfaction of care is measured using a visual numerical rating score sheet and self-scored from 0-10, assessed after delivery	—

Secondary

Measure	Time frame
Maternal outcomes: 1. Mode of delivery is assessed from hospital records at hospital discharge 2. Oxytocin use in labour is assessed from hospital records at hospital discharge 3. Epidural use in labour is assessed from hospital records at hospital discharge 4. Number of antenatal clinic visits is assessed from hospital records at hospital discharge 5. Number of non-birth related hospital admissions after recruitment is assessed from hospital records at hospital discharge 6. Presentation at hospital admission for birth (i.e. spontaneous labour, induction of labour, prelabour rupture of membranes, planned caesarean section, and others) is assessed from hospital records at beginning of hospital stay 7. Blood loss is estimated using healthcare provider’s standard estimation at delivery 8. Fever is measured using a single temperature reading = 38 degrees Celsius is extracted from hospital records measured during labour, after delivery and at hospital discharge 9. Duration of hospital stay for birth admission is assessed from hospital records at hospital discharge Neonatal Outcomes: 1. Neonatal outcomes are measured by Apgar score at 5 minutes after birth 2. Neonatal admission to special care nursery or intensive care is assessed from hospital records at infant’s hospital discharge 3. Birth weight is assessed from hospital records at hospital discharge 4. Umbilical cord arterial blood pH and base excess is assessed from hospital records at hospital discharge	—

Measure

Time frame

Maternal outcomes: 1. Mode of delivery is assessed from hospital records at hospital discharge 2. Oxytocin use in labour is assessed from hospital records at hospital discharge 3. Epidural use in labour is assessed from hospital records at hospital discharge 4. Number of antenatal clinic visits is assessed from hospital records at hospital discharge 5. Number of non-birth related hospital admissions after recruitment is assessed from hospital records at hospital discharge 6. Presentation at hospital admission for birth (i.e. spontaneous labour, induction of labour, prelabour rupture of membranes, planned caesarean section, and others) is assessed from hospital records at beginning of hospital stay 7. Blood loss is estimated using healthcare provider’s standard estimation at delivery 8. Fever is measured using a single temperature reading = 38 degrees Celsius is extracted from hospital records measured during labour, after delivery and at hospital discharge 9. Duration of hospital stay for birth admission is assessed from hospital records at hospital discharge Neonatal Outcomes: 1. Neonatal outcomes are measured by Apgar score at 5 minutes after birth 2. Neonatal admission to special care nursery or intensive care is assessed from hospital records at infant’s hospital discharge 3. Birth weight is assessed from hospital records at hospital discharge 4. Umbilical cord arterial blood pH and base excess is assessed from hospital records at hospital discharge

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Countries

Malaysia

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026