DELAYED LABOUR
Conditions
Brief summary
Obesity is one of the biggest public health problems of the 21st century as it increases the risk of many co-morbid medical conditions. Obesity in pregnancy places women at higher risk of obstetrical complications during pregnancy, delivery and puerperium. Obesity is a risk factor for cesarean delivery, failed induction of labor and labor dystocia, and prolonged labor curves especially among women with class III obesity.
Interventions
DRUGOxytocin
intravenous infusion
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Spontaneous onset of labor. * Body mass index ≥ 30 kg/m2. * Gestational age ≥ 37 weeks. * Singleton pregnancy. * Cephalic presentation. * Reassuring fetal heart rate monitoring. * Inefficient uterine contractions during active labor * Women who will accept to participate in the study.
Exclusion criteria
* Non-reassuring fetal assessment at the time of recruitment. * Women received cervical ripening agents. * Any patients contraindicated for vaginal delivery. * Multiple gestations. * Malpresentation. * Previous cesarean delivery. * Patients with cardiac diseases, pre-eclampsia or any other medical disorders. * Fetal demise. * Intrauterine growth restriction. * Estimated fetal weight ≥ 5000 grams. * Pre-labor rupture of membranes \> 24 hours.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The mean duration from oxytocin augmentation initiation to delivery | 12 hours | the calculated time between oxytocin infusion till delivery |
Countries
Egypt
Outcome results
None listed