Bishop Score, Cervical Dilatation, Duration of Delivery
Conditions
Brief summary
The study hypothesis was that epidural fentanyl may accelerate the dilation of the cervix and possibly result in a shorter duration of vaginal delivery.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of Anaesthesiologists physical status I or II * nulliparous * normal singleton uncomplicated pregnancies of more than 38 weeks * cephalic presentation of the fetus * anticipated vaginal delivery * active stage of labour * cervical dilatation between 3-5 cm * regular uterine contractions * normal cardiotocographic recordings.
Exclusion criteria
* medical problems during pregnancy * BMI≥40 kg m-2 * opioid allergy * prior administration of opioids or other analgesics
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cervical dilatation | every 60 min starting from the first epidural dose up to cervical dilatation of 10 cm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bishop score based on Cervical Position, Effacement, Dilation, Softness and Fetal Station. | every 60 min from the time the first epidural dose is administered up to delivery | Bishop score is a pre-labor scoring system which reflects the stage of the procedure (mainly the cervix condition) assessing the following: Cervical Position, Effacement, Dilation, Softness and also Fetal Station. |
Other
| Measure | Time frame |
|---|---|
| duration of delivery | min between first epidural dose and delivery of the baby |
Countries
Greece