Failed Induction of Labor
Conditions
Keywords
labor induction, transcervical foley catheter, dinoprostone, parous women
Brief summary
The purpose of this study is to assess the effectiveness and safety of transcervical foley catheter as compared to dinoprostone vaginal insertion for preinduction cervical ripening and labor induction in term parous women with unfavorable cervix.
Interventions
16 French foley catheter insertion
Dinoprostone vaginal insertion
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 * parous women * gestational age \>=37.0 weeks * Bishop score \<=5 * intact amniotic membrane * absence 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 first 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 dinoprostone vaginal insertion | When transcervical foley catheter or dinoprostone was removed before adminitoring oxytocin | 1. Cervical change based on the bishop score and cervical length induced by cervical ripening methods(foley catheter balloon vs dinoprostone) 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 |
Countries
South Korea
Outcome results
None listed