Vaginal Delivery
Conditions
Brief summary
Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible.
Detailed description
Nulliparous women in spontaneous or induced labour with term singleton pregnancy are randomized into two groups first group (early pushing) in this group patients were allowed to push within one hour after full cervical dilatation whether the vertex was visible or not. Second group (delayed pushing) patients here were asked not to push for maximum of 3 hours or start pushing when the vertex was visible. Oxytocin was allowed in both group and fetus was monitored with CTG.
Interventions
vaginal delivery is carried by an expert obstetrician and the need for forceps or ventose is recorded
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy women * Gestational age 36 to 40 weeks * singleton pregnancy
Exclusion criteria
* women indicated for cesarean section * Medical complications of pregnancy as hypertensive disorders or Diabetes Mellitus * Fetal distress * Epidural anaesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| successful vaginal delivery | within 3 hours from full cervical dilatation | success of vaginal delivery |
Countries
Egypt