Failed Induction of Labor
Conditions
Keywords
labour induction, Foley catheter, misoprostol, isosorbide mononitrate
Brief summary
The use of foley catheter was tested many times and proved to be effective for induction of labour.
Detailed description
The investigators compare between vaginal misoprostol versus foley catheter plus vaginal isosorbide mononitrate (IMN) for induction of labour
Interventions
foley 14 catheter intracervical plus vaginal IMN 40 mg evry 6 hours
misoprostol 50 Ug , vaginally every 4-6 hours
IMN vaginal 40 mg every 4-6 hours
Sponsors
Study design
Eligibility
Inclusion criteria
* Term or post term pregnancies. * Live,singleton fetus. * Cephalic presentation. * Intact membrane. * Bishop score \< 6. * Not in labour. * Medically indicated for labour induction. * Primigravida or parity of 3 or less.
Exclusion criteria
* Previous caesarean delivery. * Malpresentation. * Placenta previa. * Sever intrauterine growth restriction. * Multiple pregnancy. * Polyhydramnios. * Oligohydramnios. * Bishop score 7 or more.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| caesarean section rate | 1 year | caesarean section |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| time from induction to delivery | 1 year | from the insertion of the foley catheter to delivery |
Countries
Egypt