Induced; Birth, Obesity
Conditions
Brief summary
This study investigate the progression of labour in 144 normal weight pregnant women (BMI \<30) and 144 obese pregnant women (BMI \>30) , not in labor admitted for induction of labor. These women are to be investigated for success of induction of labor.
Detailed description
* This prospective study will be conducted for 144 obese and 144 non obese ), post date (\>41 wks), not in labor. * Woman is classified as obese if BMI \>=30. * Prolonged pregnancy was defined as delivery on or after (41+0 weeks) of gestation. * First informed consent will be obtained. * Determination of gestational age * Proper history taking, general and abdominal examinations will be done then digital examination will be performed to determine bishop score. * And obstetric U/S scan will be done and by which the following data will be obtained : * Fetal biometry * Fetal heart activity * Presentation * Localization of the placenta. * Amount of amniotic fluid. * Exclude multifetal pregnancy. * Induction of labor will be done using vaginal misoprostol according to the estimated Bishop score.
Interventions
Misoprostol 25 micrograms every 6 hours will be given to obese and non obese groups
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant woman. * Post date \>= 41 weeks. * Absent onset of labor. * Patient acceptance to join the study after signing an informed consent.
Exclusion criteria
* Placenta previa and or vasa previa. * Previous caesarean section(CS). * Multiple gestation * Any patient who will refuse to be a part of the study. * Intra- uterine fetal death (IUFD).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| route of delivery vaginal or caesarean section. | 48 hours from the start of induction | Partogram is used to access the progress of labour |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| maternal haemorrhage | 48 hours from the start of induction | Calculating number of soaked pads |
Countries
Egypt