Labor Induction
Conditions
Keywords
nipple stimulation, Oxytocin, induction of labor, term pregnancies, grandmultipara, VBAC, PROM, comparison of two methods for induction of labor
Brief summary
The purpose of the trial is to compare nipple stimulation with a breast pump to pitocin for induction of labor in term pregnancies.
Interventions
DRUGOxytocin
For low risk group (women at deliveries 1-5): IV oxytocin 10IU/1000ml standard sol. starting at 2MU/MIN and augmenting 2MU every 20 min. For high risk group (grandmultiparas \[6th delivery and up\] or women with a previous cesarean section) IV oxytocin 5IU/1000ml standard sol. starting at 1MU/MIN augmenting 1MU every 20 MIN - in accordance with the department's protocol
PROCEDUREbreast pump nipple stimulation
breast pump calibrated at lowest suction strength, operated alternately: 15 min one breast, 15 min second breast, 15 min rest
Sponsors
Hadassah Medical Organization
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* 18 years and older * completed 37 weeks gestation * singleton pregnancy * reassuring fetal heart rate at admission monitor
Exclusion criteria
* multiple pregnancies * known fetal malformations * non reassuring NST * polyhydramnios (AFI\>220) * oligohydramnios * PET * IUGR * macrosomia (EFW \>4000g) * antepartum bleeding * maternal fever
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time from induction to delivery | 24h |
Secondary
| Measure | Time frame |
|---|---|
| fetal distress (monitor assessment, cord ph) | 24 h |
| cesarean section rate | 24h |
Countries
Israel
Contacts
Primary ContactYael Sciaky-Tamir, MD
Backup ContactDrorith Hochner-Celnikier, MD
Outcome results
None listed