Labor, Induced
Conditions
Brief summary
A randomized controlled trial comparing labor induction with vaginal PGE2 tablets and foley catheter for cervical ripening.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Singleton term pregnancies (\>37 weeks), vertex presentation * Intact membranes * Low Bishop score (\<7) * First, second or third delivery * Medical indication for induction * Viable fetus
Exclusion criteria
* Contraindication for vaginal delivery, for PGE2 or foley catheter * Gestational age\<37 weeks, premature rupture of membranes, fetal or uterine malformations, previous cesarean section, uncertain dating, unwilling to participate in trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to active labor | Post labor- up to 24 hours | Hours from foley cather placement or first PGE2 tablet placment to active labor, defined as cervical dilitation \>4 cm and/or cervical effacement\>80% |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Delivery within 24 hours | post-labor - up to 24 hours | Delivery within 24 hours from foley catheter /first PGE2 tablet palcement |
| Cesarean section rate | post labor - up to 24 hours | Delivery via cesarean section |
| Maternal complications | participants will be followed for labor course and the duration of hospital stay, an expected average of 5 days | Documented complications during labor, including: excessive hemmorhage, infection (chorioamnionitis) |
| Neonatal complications | Neonates of participants will be followed for labor course and the duration of hospital stay, up to 1 month | Documented complications such as non-reassuring fetal heart rate, fetal pH, NICU admission, early neonatal sepsis |
Countries
Israel