Induction of Labor
Conditions
Brief summary
Women with a BMI\>30 and women with a BMI\<30 will be divided in a randomized controlled manor to 4 groups depending on the mode of labor induction and BMI value: 1. Dinoprostone in women with a BMI\>30. 2. Dinoprostone in women with a BMI\<30. 3. Cervical ripening balloon in women with a BMI\>30. 4. Cervical ripening balloon in women with a BMI\<30. The subjects will be followed until labor, and information regarding the success of induction, mode of delivery and time of delivery will be collected from patients' electronic files.
Detailed description
The study is a randomized controlled test in which women with a BMI\>30 and women with a BMI\<30 will sign an informed consent and then divided to 4 groups depending on the mode of labor induction and BMI value: 1. Dinoprostone in women with a BMI\>30. 2. Dinoprostone in women with a BMI\<30. 3. Cervical ripening balloon in women with a BMI\>30. 4. Cervical ripening balloon in women with a BMI\<30. All subjects participating in the study will be induced for obstetrical indications alone. The subjects will be followed until labor, and information regarding the success of induction, mode of delivery and time of delivery will be collected from patients' electronic files. The participants will finish participation in the study after delivery.
Interventions
10 mg of a Dinoprostone vaginal insert.
Double lumen cervical ripening balloon.
Sponsors
Study design
Eligibility
Inclusion criteria
* Any pregnant woman at term with an obstetric indication for labor induction.
Exclusion criteria
* Previous cesarean section. * Positive Oxytocin challenge test. * Positive contraction stress test.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mode of delivery | Up to 5 days. | Vaginal delivery in oppose to cesarean section. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to delivery | Up to 5 days. | Time from insertion of induction device\\drug until delivery. |
| Induction success. | Up to 5 days. | Cervical dilatation and effacement after cessation of induction. |
| Neonatal complications and outcome. | Up to 5 days. | Any neonatal complications as mentioned In the neonate's electronic file. |
Countries
Israel