Induction of Labour, Prolonged Pregnancy
Conditions
Keywords
induction of labour, nulliparous, prolonged pregnancy, foley catheter, vaginal birth
Brief summary
15 to 20 % of nulliparous needs an induction at term. None study has evaluated Foley catheter induction at home versus expectative in this population
Interventions
The Foley cathter will be inserted at term + 4 days for 24 hours.
expectative until the next day befor starting the induction
Sponsors
Study design
Eligibility
Inclusion criteria
* prolonged pregnancy (D+4) nulliparous no complication during pregnancy location near th hospital (20 mn by car) Bishop \< 6
Exclusion criteria
* medical history small for gestationnal age PROM Live alone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bishop score | at term birth +5 days | Measure the evolution of Bishop score,change between the randomization and the return of the patient |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Labour ward | at term birth +5 days | — |
| Total dose of prostaglandin used in case of cervical ripening. | During labor | — |
| Utilization rate of oxytocin | During labor | — |
| Total dose of Ocytocin used or not for induction labor | During labor | — |
| number of birth | between the term consultation + 4 days (randomization) and delivery time | — |
| delivery rate | within 24 hours and 48 hours after randomization | — |
| Caesarean rate | before labor and during labor | — |
| Maternal complications | through study completion, at 4 day | It's the time between the term consultation + 4 days (randomization) and delivery time (day 4) |
| Fetal complications | through study completion, at 4 day | — |
| Neonatal complications | through study completion, at 4 day | — |
| Duration of hospital stay | through study completion, at 4 day | — |
Countries
France
Contacts
University Hospital, Lille