Induction of labour Pregnancy and Childbirth Other complications of labour and delivery, not elsewhere classified
Conditions
Interventions
After amniotomy for labour induction:
1. Immediate oxytocin (blinded) starting at 1 mU/min (3 ml/hr, doubling in rate as required every 30 minutes to achieve 3 - 4 uterine contractions every 10 minute
Sponsors
University of Malaya (Malaysia)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Females aged over 16 years 2. Planned labour induction 3. Parous (at least 1 prior vaginal birth greater than 24 weeks) 4. Term gestation (greater than 36 weeks) 5. Bishop score on recruitment greater than or equal to 6 with cervical dilation greater than or equal to 2 cm suitable for amniotomy 6. Intact membranes 7. Singleton pregnancy 8. Cephalic presentation 9. Reassuring cardiotocograph
Exclusion criteria
Exclusion criteria: 1. Previous uterine incision or injury (e.g. caesarean delivery, myomectomy, perforation) 2. Gross foetal anomaly 3. Contraindication for vaginal birth
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Vaginal delivery within 12 hours 2. Maternal satisfaction score with the birth process (10 point visual numerical rating score VNRS) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Induction to delivery interval 2. Mode of delivery/caesarean delivery 3. Use opiate/epidural analgesia in labour 4. Prenatal oxytocin use 5. Intrapartum and postpartum fever 6. Delivery blood loss 7. Maternal antibiotic use 8. Induction to hospital discharge interval 9. Apgar Score 10. Umbilical arterial blood pH 11. Neonatal jaundice requiring phototherapy or more 12. Neonatal admission | — |
Countries
Malaysia
Outcome results
None listed