Women who had a prior caesarean delivery undergoing cervical ripening in labour induction Pregnancy and Childbirth
Conditions
Interventions
Participants will be randomly allocated by sealed envelope to receive either:
1. During Foley balloon cervical ripening, the catheter will be tugged intermittently, every three hours to check for disl
Sponsors
University Malaya Medical Centre
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. One previous uncomplicated transverse lower segment cesarean section 2. Age = 18 years 3. Gestational age of = 37 weeks 4. Singleton pregnancy 5. Cephalic presentation 6. Intact membrane 7. Reassuring fetal heart rate tracing 8. Absence of significant contraction = 2 in 10 minutes 9. Successful Foley insertion for induction of labour
Exclusion criteria
Exclusion criteria: 1. History of classical caesarean section/hysterotomy/ uterine perforation/ previous myomectomy 2. Latex allergy 3. Estimated fetal weight 4 kg 4. Known major fetal malformations 5. Contraindication for vaginal delivery 6. Patient who is suspected COVID-19 infection or SARS-CoV-2 positive
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Induction (Foley insertion) to delivery interval 2. Maternal satisfaction with birth experience after labor induction by 11-point 0-10 Visual Numerical Rating Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal outcomes 1. Change in bishop score after intervention (obtained from hospital record after hospital discharge) 2. Use of additional method for cervical ripening (obtained from hospital record after hospital discharge) 3. Time to delivery after Foley removal/expulsion (obtained from hospital record after hospital discharge) 4. Mode of delivery (obtained from hospital record after hospital discharge) 4.1. spontaneous vaginal 4.2. vacuum 4.3. forceps 4.4. caesarean section 5. Indication for operative delivery (obtained from hospital record after hospital discharge) 6. Duration of oxytocin infusion (obtained from hospital record after hospital discharge) 7. Blood loss during delivery (obtained from hospital record after hospital discharge) 8. Third-or fourth-degree tear (obtained from hospital record after hospital discharge) 9. Maternal infection (obtained from hospital record after hospital discharge) 10. Use of regional analgesia in labor (epidural) (obtained from hospital record after hospital discharge) 11. Length of hospital stay (obtained from hospital record after hospital discharge) 12. ICU admission (obtained from hospital record after hospital discharge) 13. Cardiorespiratory arrest (obtained from hospital record after hospital discharge) 14. Hysterectomy (obtained from hospital record after hospital discharge) 15. Maternal satisfaction with the allocated intervention Neonatal outcomes (obtained from hospital record after hospital discharge) 16. Apgar score at 1 and 5 minutes (obtained from hospital record after hospital discharge) 17. NICU admission (obtained from hospital record after hospital discharge) 18. Cord artery pH (obtained from hospital record after hospital discharge) 19. Neonatal sepsis (obtained from hospital record after hospital discharge) 20. Birth weight (obtained from hospital record after hospital discharge) 21. Birth trauma (obtained from hospital record after hospital discharge) 22. Hypoxic ischaemic encephalopathy/need for t | — |
Countries
Malaysia
Contacts
Public ContactYunesh Krishnan
Outcome results
None listed