Cervical Ripening
Conditions
Brief summary
When oligohydramnion - decreased amniotic fluid, is diagnosed at term pregnancies, the common practice is to induce labor. Whenever the cervix is not ripened, there are several methods to ripen the cervix, two of which are: mechanical, using a double balloon catheter and pharmacological, with prostaglandins. The aim of the study is to compare those two methods of cervical ripening for patients with significant oligohydramnion at term. The study will be a prospective randomised trial.
Interventions
cervical ripening using double balloon catheter
prostaglandins E2 - Intravaginal Propess for 24 hours
Sponsors
Study design
Eligibility
Inclusion criteria
* singleton pregnancy * normal pregnancy, well dated, at term * un ripened cervix
Exclusion criteria
* previous cesarean section * multiple pregnancy * intra uterine growth restricted fetus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time from ripening to active labor and to delivery, rates of cesarean section, rates of nonreassuring fetal heart rate during induction of labor. | during induction of labor, delivery and early post partum |
Secondary
| Measure | Time frame |
|---|---|
| patients satisfaction | induction of labor, delivery and early postpartum |
Countries
Israel