Delivery Delayed
Conditions
Brief summary
This study will examine the use of nipple stimulation for cervical ripening in women who present to the labor and delivery ward after their water has broken but have a contraindication to prostaglandins.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Week 37 + 0 and on * PROM (premature rupture of membranes) * Multiparity (birth sixth or higher) or TOLAC (trial of labor after Caesarean section) * Not in active labor - without regular contractions fetal monitor, cervical dilation \< 4 cm and effacement \< 80%.
Exclusion criteria
* Water break \> 24 hours at the time of admission to the delivery room * Active vaginal bleeding with suspected placental abruption * Maternal fever * Multifetal pregnancy * Women with contraindication for vaginal birth * Preeclampsia * IUGR (intrauterine growth restriction) * Macrosomia * Non-reassuring fetal heart tracing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| progression to active labor as measured by the Bishop score | 6 hours |
Countries
Israel