Failed Induction of Labor
Conditions
Keywords
labor induction, transcervical foley catheter, prostaglandin
Brief summary
The purpose of this study is to assess the effectiveness and safety of transcervical foley catheter as compared to prostaglandins for preinduction cervical ripening and labor induction in term nulliparous women with unfavorable cervix.
Interventions
DEVICETranscervical foley catheter, Prostaglandins
16 French foley catheter 10mg dinoprostone vaginal insert
Sponsors
Seoul National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* singleton pregnancy * nulliparous women * gestational age \>= 37.0 weeks * Bishop score \<= 5 * intact amniotic membrane * abscence of labor * live fetus with vertex presentation * no previous uterine surgical procedure
Exclusion criteria
* major congenital anomaly
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Successful labor induction | Twelve hours of initiating oxytocin on the fist day of induction | Successful labor induction is defined as an ability to achieve the active phase of labor corresponding to a cervical dilatation of \>=4cm. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cervical change in the bishop scores and cervical lengths induced by transcervical foley catheter and prostaglandins | When transcervical foley catheter or prostagladins was removed befor adminitoring oxytocin | 1. Cervical change based on the bishop score and cervical length induced by cervical ripening method(foley catheter balloon vs prostaglandin) 2. Incidence of cesarean delivery 3. Vaginal delivery with 24 hours of starting of induction 4. The interval from start of oxytocin to delivery 5. Incidence of admission to neonatal intensive care unit and uterine tachysystole 6. Pain score by the type of ripening method |
Countries
South Korea
Outcome results
None listed