Fetal Membranes, Premature Rupture, Induced Labor
Conditions
Brief summary
The purpose of this study is to examine the feasibility of using intracervical balloon catheters for cervical ripening as part of labour induction in healthy, GBS-negative women with prelabour rupture of membranes at term.
Detailed description
This is a randomized controlled trial comparing two methods of induction of labour for pregnant, GBS-negative women presenting with prelabour rupture of membranes at term. The intervention consists of the insertion of a double-balloon intracervical catheter at the time of induction, followed immediately by oxytocin infusion. The control consists of standard therapy: oxytocin induction. Our primary outcome is feasibility, and our secondary outcomes are length of first and second stages of labour, rate of vaginal delivery, intrapartum fever, chorioamnionitis, NICU admission, suspected or proven neonatal sepsis, or serious neonatal complication.
Interventions
Intracervical insertion of an 80cc Double-Balloon Catheter.
IV Oxytocin infusion, dose dependent on patient response. Start at 2mIU/min, increasing every 30 minutes by 2mIU/min, to max 24mIU/min.
Sponsors
Study design
Eligibility
Inclusion criteria
* Singleton Pregnancy * 37.0 and 41.0 gestational age * Confirmed Rupture of Membranes * Group B Streptococcus Negative * Cephalic Presentation * Absence of contractions for at least 60 minutes following rupture * Absence of contractions at time of enrolment
Exclusion criteria
* Contraindication to Vaginal Delivery * Previous Uterine Surgery, including Caesarean Section * Previous Cerclage, Cone Biopsy, LEEP, or Cervical Surgery * Documented history of cervical incompetence * High Grade intraepithelial lesion, adenocarcinoma in situ, or invasive cervical cancer. * Immunosuppressed State * Active Vaginal Infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility | 48 hours |
Secondary
| Measure | Time frame |
|---|---|
| Intrapartum Fever | 48 Hours |
| Duration of Labour | 48 hours |
| NICU Admission | 0-7 days postpartum |
| Chorioamnionitis | 48 Hours |
| Patient Satisfaction | 0-6 weeks Postpartum |
Countries
Canada